Policies, Documents, and Forms
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Policies and Consent to Treatment
This document is comprised of three sections:
1) office policies and financial agreement,
2) HIPAA privacy policy, and 3) consent to treatment. -
Notice of PRIVACY PRACTICES
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
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OFFICE and FINANCIAL POLICIES
This notice describes policies regarding billing, insurance, late fees, and cash payments.
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Patient Authorization to RELEASE HEALTH INFORMATION
This notice allows for the requesting of health information be exchanged between the parties specified.
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New PATIENT Intake
This document should be completed by all new patients prior to first appointment.