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NEW PATIENTS

Preparing for Your First Visit

In preparation for your first visit, please print and complete the following forms:

  1. Patient Demographics

  2. Patient Health History / Meaningful Use

  3. HIPAA Consent

  4. Patient Responsibility / Insurance Disclaimer

  5. Financial Policy

  6. Distress Management Questionnaire

  7. Medical Record Release

Please bring your completed forms to your first visit. Should you have any questions, please call our office at (252) 991-5261.

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