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You may print, fill out, sign and bring in the appropriate forms to your appointment. The Registration form and HIPAA Contact Preference form are required for ALL patients and on a yearly basis. For patients coming in for a complete physical, please note the forms are different for existing versus new patients.
HIPAA Contact Preference Form - required for ALL new patients and existing patients(once per year)
Existing Patient History Review Form - required for all existing patients coming in for a complete physical, preoperative examination, or for those who have not been seen in over a year.
New Patient History Review Form - required for all new patients except those coming in for immigration or FAA examinations unless otherwise informed to do so by office staff.
Medicare Letter - letter to Medicare patients (2/24/11) about the changes to care/visits, etc... based on The Affordable Care Act (ACA) of 2010.