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New Patient Forms Our new patient form is used to gather all the needed information for our Staff to start a new patient record for you. New Patient Form Our perscription policy form. Perscription Policy Form The release of information form authorizes release of personal health information generated at our office to another individual, entity or provider. Please allow 10 working days for your request to be processed. Medical Release Form Our Privacy Practices are covered in detail on our Privacy Practices form. Privacy Practices Form You will need a PDF reader to download any of our forms and then print them for use. We recommend Adobe Acrobat Reader. Completed forms can be faxed, mailed or hand delivered to our office. |
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| Contact Us | Copyright 2022 |
