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ONLINE PATIENT RESOURCES

We have made filling out the necessary forms quick and convenient for you. You may view them and print them out using Adobe Reader (download Adobe Reader for free at www.adobe.com). To save time, complete them and mail them to the office before your first visit or bring them with you. Item 6, our Notice of Privacy Practices, is important information for your own records.

1. Patient Registration Form

2. Patient History

3. Medical Records Release Policy

4. Medical Records Release Request Form

5. Medical Records Release Request Form from Summit Ob Gyn

6. Notice of Privacy Practices

 

 

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