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Patients
may print and complete the following forms before arriving
at the office. Patients should provide their completed forms
to reception prior to their appointments.
Privacy
Statement
Authorization
for Health Information Disclosure
A
patient should complete to release his or her records to a
provider, legal council, or other entity.
New
Patient Demographic Form
A
new patient to our office should complete prior to his or
her initial visit.
New
Patient Medical History Form
A
new patient to our office should complete prior to his or
her initial visit.
Patient
Accident/New Symptom Form
A
new or existing patient should complete prior to treatment
for a new medical problem or accident.
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