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Please print and complete forms and bring them to your office visit. Thank you for trusting us to be your healthcare partner.
Patient Demographics Form
Patient Privacy Practices Notice
Medicare Secondary Payer Questionnaire (Medicare Patients Only)
Records Release Form
Living Will and Durable Power of Attorney
Beneficiary Info Notice (ENG)Beneficiary Info Notice with Telehealth (ENG)
Beneficiary Info Notice (SPA)Beneficiary Info Notice with Telehealth (SPA)
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