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Download Forms

New Patient Forms You can print the following forms and either mail it back, fax it to us, or bring it with you to your first appointment.

FIRST: download the appropriate form for you:
Word Download Acute Lyme Disease downloaddownload
Word Download New Patient Intake Form - Adult downloaddownload
Word Download New Patient Intake Form - Child downloaddownload
NEXT: download and return all of these:
PDF Download Office Policy downloaddownload
PDF Download Informed Consent for Treatment downloaddownload
PDF Download Confidentiality and Release of Information downloaddownload

Word You will need Microsoft Word. Click here for the free MS Word Viewer.

PDF Download You will need Adobe Acrobat Reader (free). Click here to download Acrobat Reader.

 

Looking for the dispensary order form? Please visit the dispensary page.

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