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Patient Information Form

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This Patient Information Sheet allows us to get some very basic background information about you, including insurance and employment information. Every new patient must fill this out and sign it.

Download "Patient Information Sheet.pdf"

Patient Release Form

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Please fill out this form to grant us authorization to release health care information to your family & friends. Here at First Choice, we take your privacy very seriously.

Download "release-form.pdf"

Health History Form

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All new patients need to fill out this document, which gives us an overview of your health history. Knowing about your past can help us better understand your health needs and give you the best treatment possible.

Download "heath-history.pdf"

Scan to download Fillable Medical Release Authorization

Scan to download Fillable Medical Release Authorization
QR for Medical Release Authorization, First Choice Medical.

Download Fillable Medical Release Authorization.
http://pdf.ac/2CM0Pu