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Please download and review all three documents
prior to your first meeting with a physician.
This will shorten your wait in the office and
improve the exchange of information. If you
have questions, or would like to make an appointment,
please call our staff.
- We
ask that you review our Privacy Policy. This
complies with Federal policy mandated by the
1996 Health Insurance Portability and Accountability
Act (HIPAA). This policy describes your rights
with regard to access and protection of your
private health information.
Download
Privacy Policy
- As
part of our Privacy Policy, we ask that you
provide phone numbers that you would like
us to use when calling for appointments, test
results or scheduling surgery.
Download
Disclosure Form
-
Please complete both pages of our medical
history form. If you need additional space
for details of medical problems, operations
or lists of medications attach separate pages
as required.
Download
Patient History Form
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