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    • About
    • Services
    • Contact
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More Information!
  • Home
  • About
  • Services
  • Contact
  • Patient Resources
More Information!

forms

 Which form may you need?

Downloads

Want to save time on paperwork? Download these and print them out at home! Depending on the appointment depends on the paperwork.

ABN (pdf)

Download

HIPAA (pdf)

Download

Patient Registraion (pdf)

Download

Patient History (pdf)

Download

WRS Systems (pdf)

Download

Medicare Wellness Visit (pdf)

Download

Weight Loss Consent (pdf)

Download

Pain Assessment (pdf)

Download

Trigger Point Therapy (pdf)

Download

Controlled Substance (pdf)

Download

THC Patient History (pdf)

Download

THC Certification and Understanding (pdf)

Download

lB12 Consent (pdf)

Download

ADAM Questionnaire (pdf)

Download

Hormone Form (pdf)

Download

Women Hormone Consent (pdf)

Download

Male Hormone Consent (pdf)

Download

WHAT FILES YOU MAY NEED BASED ON APPOINTMENT TYPES

New Patient Appointment

  • ABN
  • HIPAA
  • Patient Registration
  • Patient History
  • WRS

Weight Loss

  • ABN
  • HIPAA
  • Patient History
  • Patient Registration
  • WRS systems
  • Weight Loss Consent

Pain Management

  • ABN
  • HIPAA
  • Patient Registration
  • WRS systems
  • Patient History
  • Pain Assessment

THC

  • ABN
  • HIPAA
  • Patient Registration
  • Patient History
  • WRS systems
  • THC Patient History
  • THC Certification and Understanding

Hormone Therapy

  • ABN
  • HIPAA
  • Patient Registration
  • Patient History
  • WRS System
  • Hormone Form
  • Women Hormone Consent (Only Women)
  • Male Hormone Consent (Only Men)

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