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    ONLINE FORMS

    Click here to download all new patient forms

    Click here to download all forms

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

    Patient Intake Form

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    Splint Care

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    Splint Warranty Policy

    Splint Warranty Policy.png

    Health History Form

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    HIPPA-Consent for Release

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    Medical Records Release

    Medical Records Release.png

    Notice of Privacy Practices

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    Glossary of Health Insurance

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    Telehealth Consent

    COVID Screen

    Cancellation No-Show

    140 b HIPAA Notice of Privacy

    Telehealth Consent
    COVID Screen
    Cancellation No-Show.png
    140 b HIPPA Notice of Privacy.png
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    Homestead Waiver Agreement
    ReBound Pool Therapy Liability Release
     
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    Patient Right: Estimate of Cost of Services
    Schedule an appointment