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Forms

New Patients:

Call our office for information on the forms you will need. Please print the forms and complete the information for your upcoming visit. This can be done in the privacy of your home or our office.

Current Patients:

Print and complete the forms that you will need for your upcoming visit. Call our office for information and requirements for each form you will need. Proper Vaccines can deter or prevent dangerous diseases.

To view the below documents you need ADOBE READER.

Notice of Privacy Practices	Acknowledgement of receipt	Authorization to pay	Financial Policy
Consent for Treatment	Medical Records Release	Patient Record of Disclosures	Family History

The below consent forms are needed in order for your child to receive the Flu vaccine.

Consent for Flu vaccine

Consent for Flumist

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