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PATIENT INFO & FORMS
01
Patient Handbook
Here you will find our patient handbook and various forms that you will need to complete for your first appointment with us. If you wish, please print these forms and fill out before you come in. If you are not able to print these at home, they can also be given to you during the check-in process.
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02
Sliding Fee Scale
Sliding Fee Application: English / Spanish
Medical, Optometry, Behavioral Health, and Podiatry Sliding Fee Scale: English / Spanish
03
Medical
Medical History Questionnaire: English / Spanish
Authorization to use or disclose health information: English / Spanish
Permission for Treatment of Children: English / Spanish
Permission to Release Protected Health Information (HIPAA consent form): English / Spanish
04
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