Forms - Diane McFeron

 

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

Download, print out, complete and sign all forms.  Bring them with you to your appointment. 
Thank you.

SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
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ALL PATIENTS  643k v. 1 Dec 20, 2018, 3:47 PM Douglas Chandler
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ALL PATIENTS  320k v. 1 Sep 18, 2018, 12:32 PM Douglas Chandler
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(beginning 1/1/2019) ALL PATIENTS. Download, complete, initial, and sign.   474k v. 1 Dec 21, 2018, 3:44 PM Douglas Chandler
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(starting 1/1/2019) ALL PATIENTS. Download for your use.   696k v. 1 Dec 20, 2018, 3:48 PM Douglas Chandler
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(starting 1/1/2019) ALL PATIENTS. Print, Complete, Sign.  136k v. 1 Dec 20, 2018, 3:48 PM Douglas Chandler
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INSURED PATIENTS ONLY  30k v. 1 Sep 17, 2018, 7:37 PM Douglas Chandler