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NEW PATIENT PAPERWORK Electronic Forms (Fillable PDF)

For NEW patients over 19 years old, please complete the following paperwork prior to your appointment:

For NEW patients under 19 years old, please complete the following paperwork prior to your appointment:

 

IN ADDITION TO THE ABOVE: For patients seeing Lindsey Teten, APRN, please complete a release for your primary care provider: 

EXISTING PATIENT PAPERWORK 

For EXISTING patients over 19 years old, please complete the following paperwork:

For EXISTING patients under 19 years old, please complete the following paperwork:

 

IN ADDITION TO THE ABOVE: For patients seeing Lindsey Teten, APRN, please complete a release for your primary care provider: 

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Billing/Payment Forms