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New Patient Forms (Spanish)

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Patient Information & Forms

Please complete the following forms:

  • New Patient Letter
  • Patient Information Form
  • Patient Encounter Form
  • Patient Medical History Form
  • Patient Authorization
  • Authorization for Release of PHI
  • Patient Financial Policy
  • Patient Acknowledgement of Privacy Practices
  • Notice of Privacy Practices
  • Blood Pressure Log (Spanish)
  • Medical Records Release (Spanish)

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