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Directions
for First Visit Paperwork |
The following forms should be read/filled out and
brought to your initial visit. If you have completed this paperwork before
your visit you should show up five minutes before your scheduled time
(as opposed to 30 minutes if paperwork is not done). Below are instructions
for each form. Each form can be downloaded in Word or Adobe Acrobat. |
- Privacy Policy - This form explains
our privacy policy - it basically explains that we cannot distribute
your personal medical information without your permission. Please read
this document so that you understand our policy but this form does not
need to be brought with you to your visit.
- Signature Form - This is a one-page
form stating that you have read and agree with our Privacy Policy (above
form #1). This signed form must be brought with you to your initial
visit.
- Personal Medical History - This
is a two-page form that explains your medical history. Please fill out
completely and bring it with you to your first visit.
- Patient Information - This is
a two-page form that has your personal information (address, phone number
etc. so that we can contact you). This form must be brought to your
initial visit.
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Please bring the last three forms, your insurance
card, and any applicable co-pay with you on your initial visit. If you have
any questions please call - all forms are available at our clinic if you
have any problems.
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to view pdf files |
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