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Patient Documents

These are patient documents that you can download, print, and fill out, prior to your office visit.  Please read the directions below carefully to ensure you are able to successfully complete the forms.

Users with Windows 7 and up
You will need the newest version of Adobe Reader to properly save these documents.  Adobe Reader XI can be downloaded by clicking the button below.  Make sure to uncheck the optional software before beginning the download!  This will only work for users with Windows 7 and up; those with versions below Windows 7 will see Adobe Reader X when they click the button below.  Reader X will not save these documents. 

Users with Windows Vista, XP, and below
Since you are unable to download the latest version of Adobe Reader XI, you will need the latest version of Foxit Reader to properly save these forms.  Please click the button below to go the the Foxit website and begin the download. 

Sending Forms
Once filled out and saved, these forms can be submitted through fax or email.  Faxes can be sent to (386) 677-7842.  To send via email, click the email button below.

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Only sign these forms if you are printing them at home.  If you are submiting these forms via fax or email, please do not sign them electronically.  We will ask you to sign them when you arrive at the office.

 
 
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