PATIENT FORMS IN ENGLISH
In order to provide you with the most efficient and thorough service, we have provided several forms on-line.
You will find a Registration form which will ask for your demographic information, Privacy and HIPAA forms that explain the confidentiality with which we treat your information, a form on which you will provide your Medical History, and a Medical Release form to be filled out in the event that you want your medical records to be released to another Physician. Please download the appropriate forms, fill them out and bring them into our Urgent Care, where you will be seen by our Medical Staff as soon as possible.
- HIPAA Form
- New Chiropractic Patient Paperwork https://barrancoclinic.com/propranolol-10mg/
- New Auto Chiropractic Patient Paperwork 2017 http://injuryandtreatmentcenter.com/online-pharmacy-no-prescription/
- Auto Intake Questions for Chiro Patients 2017 http://injuryandtreatmentcenter.com/generic-propecia/