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Consent Forms

Circumcision Consent
Consent for Electronic Prescribing
Minor Patient Consent
Telemedicine Consent

Patient Privacy Forms

Notice of Privacy Practices
Notice of Privacy Practices Acknowledgement

Survey of Well Being Forms

12-Month Visit
24-Month Visit
36-Month Visit

Other Forms

Authorization to Use Public Health Information
New Patient Registration Information
Patient Address Change Request
Insurance Change Request
Patient Satisfaction Survey
Policies and Procedures
Patient Portal Registration
Patient Financial Responsibility
Since Your Last Visit
Scared Child
Scared Parent
Patient Health Questionnaire (PHQ-9)