Forms - New Life Associates - Hendricks Regional Health

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New Patient Packet (Adult)

Patient Registration Form
Signature Page
TB Prescreen
HIPAA Authorization
Patient History Form
HPV Authorization Form

New Patient Packet (Minor)

Patient Registration Form
Signature Page
TB Prescreen
HIPAA Authorization
Patient HistoryForm

General Practice Forms

Printable Brochure
Patient Rights and Responsibilities
Notice of Privacy Practices
Parental Consent Form
Office Policies

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