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Medical Forms

clinic-forms

Below are downloadable PDFs of important medical forms that will open in a new browser window. Feel free to download and print these forms.  Fill out and bring forms to the clinic with you.

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Patient History
Instructions for Release of Information
Authorization to Release Protected Health Information
Authorization for Confidential Communication
General Consent for Admission/Treatment
Family Medical Leave (FMLA) and Disbililty Forms
Menstrual Calendar
Bone Mineral Density Test Patient Questionnaire

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