Patient Forms - Dr. Kathryn E. White

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Saturday 4 September

Patient Forms

NEW PATIENT FORMS:

New Patient Questionaire (13.84 KB)
Patient Demographics (282.66 KB)

ADDITIONAL FORMS:

Annual Health Update (43.75 KB)
Patient Demographics (282.66 KB)
Patient Office Policy (74.4 KB)
Patient Financial Policy (33.5 KB)
Notice of Privacy Practices (83.86 KB)
Consent of Minor (70.61 KB)
Gardasil Consent (57.75 KB)
HALO patient information sheet (236.92 KB)
HALO consent (60.97 KB)
HPV PAP Consent (85.96 KB)
e-MDs 6.2.0 Patient Portal User Guide (1.47 MB)
Medical Records Release (72.29 KB)
Patient Portal User Agreement (34 KB)