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    ONLINE FORMS

    Click here to download all forms

    Haga clic aquí para ver y descargar las versiones en español de estos formularios

    Patient Intake Form

    PatientIntakeForm2020.png

    Splint Care

    Splint Care.png

    Splint Warranty Policy

    Splint Warranty Policy.png

    Health History Form

    Health History.png
    HIPAA-Consernt for Release.png

    HIPPA-Consent for Release

    Medical Records Release.png

    Medical Records Release

    Notice of Privacy Practices.png

    Notice of Privacy Practices

    Glossary of Health Insurance

    Glossary of Health Insurance Terms.png

    Telehealth Consent

    COVID Screen

    Telehealth Consent
    COVID Screen

    Cancellation No-Show

    Cancellation No-Show.png

    140 b HIPAA Notice of Privacy

    140 b HIPPA Notice of Privacy.png
    Screen Shot 2020-12-23 at 1.44.40 PM.png
    Screen Shot 2020-12-23 at 1.45.12 PM.png
    Homestead Waiver Agreement
    Rebound Pool Therapy Liability Release
     
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