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Patient Intake Forms

Please download the following forms and bring them with you to your intake visit.

Please bring any medical records, if possible, especially lab tests or hospital discharge summaries if applicable.

Patient Intake Form

This form is mandatory for new patients and is available in PDF format for you to download and fill out. Please bring this to your first appointment.

Consent For Information Form

This form enables us to communicate with your M.D. and other Hospitals and Clinics to obtain information vital to your medical evaluation and plan. Please bring this form to your first appointment also. It is available in PDF format for you to print.

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