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Patient Forms

GETTING READY FOR YOUR APPOINTMENT

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When you come to the physician’s office, please remember to bring the following:

 

  • All medications you are taking in their original containers

  • Valid ID such as your driver’s license

  • Health insurance card/Medicare card


To make your office visit go more smoothly, you may complete special requests patient forms in advance. Please select and print the attached forms, fill them out completely and bring them with you to your appointment.

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DOWNLOADS:

Credit Assessment_2

Authorization for Release of Medical Records
OUT-OF-HOSPITAL DO-NOT-RESUSCITATE (OOH-DNR) ORDER
Application for Persons with Disabilities Parking Placard_VTR-214 Form

Pharmacists' hands

New Patient Forms

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