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Forms

New Patients:

Please print and complete the 8 forms below. Bring the completed forms to the office for your upcoming visit.

To view the below documents you need ADOBE READER.

Vaccine Waiver	Acknowledgement of receipt	Authorization to pay	Financial Policy
Consent for Treatment	Medical Records Release	Patient Record of Disclosures	Family History

Notice of Privacy Practices

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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