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Patient Forms
Please complete our downloadable forms at home, and bring them
with you to your appointment. If you are unable to complete them
ahead of time, please arrive 15 minutes earlier than your
appointment time.
These links open in a new window:
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Patient Medical History Form (2 pages)
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HIPPA Consent Form For Disclosure Of Health Information (1
page)
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Patient Information Form (1
page)
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Office Information and Financial
Responsibility Form (1 page)
In addition to these forms, please bring the following items
with you:
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Insurance cards
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Drivers License
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A list of all your current medications
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Many elective cosmetic
procedures are not covered by insurance. Many insurance plans require an authorization for a visit
to our office. Please check your plan and, if necessary,
obtain an authorization from your primary care physician.
We’re so glad that you have chosen to visit us. We
look forward to seeing you soon.
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