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Patient Forms

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New Patient Packet

Please print & fill out all (3) forms and bring with you to your first appointment.  Please feel free to give the call with any questions or concerns.
Patient RegistrationMedical History, HIPAA Privacy                                        

HIPPA Packet

Attached is a copy of office Notice of Privacy Policy.  Please print out a copy for your records.

CareCredit Application


Click Here to go Directly to CareCredit Site
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