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Please take a moment to
download and fill out your new patient forms. This will make
our time together more efficient for you.
The New Patient Packet includes 4 forms. If you do not
have a printer, or cannot print the forms, please call our
office and we will be more than happy to mail the forms to
you..Included in the packet is our HIPAA consent form.
We respect your privacy and realize that you are placing a
great deal of trust in us. There are times when it is
important for us to discuss your medical history with other
medical professions. This form gives us permission to do
just that, discuss with other professionals, and NO ONE
else!
The next form is our Health History Survey. Please
answer as honestly as possible as this information is
important to us. The more we know, the better and safer we
can treat you! Our office does not discriminate based
on any information on this form. We use it only for
formulating safe treatment for you! This form is two pages.
The last form is our Cancer Screening form. We use
a new technology in our office, the Vizilight®.
Although it is not always covered by insurance, it is one of
the most sensitive tests on the market. We are dedicated to
the early detection and treatment for our patients. Please
feel free to discuss this with us, the choice is yours.
In order to view the forms and download them you will need
Adobe Acrobat Reader,
click here if you do not have this free program.
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