New Patient Forms - Brazier

 

Here are the forms you will need for your first appointment.  

What to do:
1)  Start by looking at the 2nd column (ALL CAPITALIZED).  
2)  Select each of these forms as they apply to your situation.  
3)  Download, Print, and complete them.  
4)  Bring them in for your appointment.  

Thank you.
 
 Douglas Chandler
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
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ALL PATIENTS. Print, complete, sign.   643k v. 1 Jul 18, 2019, 6:54 PM Douglas Chandler
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ALL ADULT PATIENTS. PLease complete and bring with you.  395k v. 1 Jul 18, 2019, 6:56 PM Douglas Chandler
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ALL YOUTH PATIENTS. Please complete and bring with you.  360k v. 1 Jul 18, 2019, 6:56 PM Douglas Chandler
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ALL PATIENTS. For your use.  696k v. 1 Jul 18, 2019, 6:58 PM Douglas Chandler
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ALL PATIENTS. Please download, complete, sign, and bring with you.  136k v. 1 Jul 18, 2019, 6:59 PM Douglas Chandler
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INSURED PATIENTS ONLY  30k v. 1 Jul 18, 2019, 6:48 PM Douglas Chandler