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Patient Forms 3

Workers Comp Patients

Workers Comp patients, please right click on each of the forms listed and select "save as" option to download forms.  Please print and fill them out completely in advance and bring them to us on your first visit. should you have any questions relative to information on the form please contact our office and we will be glad to assist you. If you need Adobe Reader you may download it from our Useful Information page


Welcome

Our initial new patient information form

Download Welcomenew.pdf

HIPAA Requirements

HIPAA Acknowledgement form

Download HIPAA.pdf

X-Ray Policy

Our Inernal policy regarding our on site X-Ray Services

Download NEW_POLICY_REGARDING_XRAYS.pdf

Workers Comp

Workers Comp financial policy

Download Workers_Compensation_Policy.pdf

Accident Information

Information on the History and Injury

Download History Work Accident.pdf