PRE-APPOINTMENT PATIENT FormS
*FOR Patients w/ Scheduled Appointments ONLY*
(Please Complete Before Your Appointment)
(Please Complete Before Your Appointment)
ENGLISH REGISTRATION
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SPANISH REGISTRATION
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COVID-19 WELLNESS FORM
(ENGLISH & SPANISH)
*** REQUIRED FOR ENTRY BEFORE EACH VISIT ***
*** REQUIRED FOR ENTRY BEFORE EACH VISIT ***
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HIPAA Privacy RULE
We take protection of your health information very seriously!
Brush up on the HIPAA Privacy Rule here.
(No Signature Required)
Brush up on the HIPAA Privacy Rule here.
(No Signature Required)
NEED AN APPOINTMENT?
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