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Bring these forms with you for your visit:
2. Adult Patient History Form (18 and older) 3. Adolescent Patient History Form (Ages 12-17) 4. Child Patient History (Ages 0-11) 5. HIPAA Acknowledgement Form (see Patient Privacy under the Financial Policy Tab) 7. Medical Release Authorization Form 9. Flu Shot Vaccination Information
Please bring your insurance card and a current list of all medications with you to each visit. |
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