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| Patient FormsHere you will find some of the more typical forms used at our office as part of maintaining your health records, insurance, and billing information. For each form below, you will find a description of the form, its purpose, an explanation of who should use it and when. These forms are in Adobe Acrobat Reader format. The Adobe Acrobat Reader is free and is installed on most newer computers. If you don't have the Acrobat Reader, please visit Adobe to download it. After you have completed the forms, please print them and remember to bring them with you during your office visit. This will facilitate your visit with us. You also have the option to send the completed forms by email. Personal, contact, and insurance information. Use if you are a new patient or have information that has changed since your last visit. [REQUIRED]
Health Questionnaire Health questionnaire. Use if you are a new patient or have information that has changed since your last visit. [REQUIRED]
Our office credit card policy. [REQUIRED].
HIPPA form explaining your rights and responsibilities as a patient of Women's Health Partners.[REQUIRED].
To be completed by MEDICARE patients only
Use this form to request your medical records for yourself or other physicians.
HIPAA form designating who Women's Health Partners can release medical information to.
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