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group file

 

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 EVERETT PATIENTS: START HERE   132k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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ALL MT VERNON PATIENTS: START HERE    116k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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  424k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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ADULT PATIENTS  94k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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FOR YOUTH ONLY  3205k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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COPY FOR YOUR USE  290k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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ALL PATIENTS  290k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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ALL PATIENTS  145k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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INSURED PATIENTS ONLY  30k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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FOR PARENTS OF TEENS ONLY  291k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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FOR EAP PATIENTS ONLY (Employee Assistance Program)  35k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler
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FOR FARWEST EAP ONLY  1033k v. 1 Mar 13, 2017, 1:15 PM Douglas Chandler