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To save time, you may print the forms and complete them before your appointment, and bring them with
you.
Please
remember to bring a current list
of your medications, a current
insurance card and your co-pay
along with your completed forms
to your appointment.
New Patient Registration
Notice of Privacy Practices
Acknowledgement of Receipt of Privacy Practices
Consent for the Usage and/or Disclosure of Protected Health Information
Screening Questionnaire for Adult Immunization
Screening Questionnaire for Child and Teen Immunization
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