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Patient Forms

Forms in English

Note: All forms are in Adobe PDF format, requiring free Adobe Reader software.

Patient Registration Form: To speed the check-in process, we encourage our new patients to download and complete this form prior to arriving at their physicians' offices.
Authorization to Disclose Information
Financial Policy
Medical History Form for Care for Women Practices
Medical History Form for Primary Care Practices
Medical Records Release Form
Annual Wellness Visit / Health Risk Assessment Form
Notice of Privacy Practices
Privacy Notice Acknowledgment and Communication Consent Form

Formas en español

Por favor, tenga en cuenta que todas las formas están en formato Adobe PDF, lo que requiere el software gratuito Adobe Reader.

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