Privacy Policy | Physician Referrals

 

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Patient Rights

• Insurance Form
• Consent for Treatment
• Late Policy
• PHI
• Patient History
• Travel Information
• Living Will
• Medication List
• Medical Records Release

Please print these forms and have them completed by the day of your appointment. Upon arrival at our office, please hand the completed forms to the receptionist when you check-in. If you are not able to print these forms, please arrive 20 minutes prior to your appointment to complete these forms at our office.

 

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