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DON'T YOU JUST LOVE FORMS?

Established patients are patients that have been seen in our (medical) clinic at least once in the last 3 years. It is important for us to know any changes in your medical history since the last time that we saw you.  If it has been at least a year since your last visit, please complete the following forms and bring them with you to your next visit as it necessary to update these forms once yearly.

HIPPA form

Interval medical history

Request of medical records (to be sent TO our clinic)

We will need to confirm your current address, phone numbers and emergency contact information as well as a copy of your insurance card.

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