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Forms
MEDICARE VISIT/ MEDICARE ANNUAL WELLNESS
Please use the first two links below to access and print the new patient forms. Completed forms should be brought with you to your scheduled appointment.
​If you are unable to print the forms in advance, we kindly request that you arrive 30 minutes early to complete the necessary paperwork prior to your appointment.
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to request records from prior physicians​
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HIPAA Release​​
WEIGHT LOSS FORMS
If you are coming in to discuss weight management please review and complete the following:​
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Must be completed prior to appointment​
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Please fill out these forms and present them to your visit.
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NEW PATIENT FORMS
MEDICARE SHARED SAVINGS PROGRAM
If you are a Medicare patient of our practice, please review this important document.
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