Patient Forms
Welcome
To Our Office
Medical History Information
Patient
Information
Financial Arrangements
Notice of Privacy Practices
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Your privacy is important to us. With convenience, there also comes risk. Some websites will use forms to collect personal data from patients and customers without having the proper safeguards in place. The result is no safer than email, and is an easy target for the most basic hacker.
With your safety in mind, we prefer you print "all 10" forms and fax or bring them directly to our office listed below.
Free Adobe Acrobat reader to print forms For more information on internet
security, or personal privacy in general visit
http://epic.org
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