NEW PATIENT FORMS | capi

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NEW PATIENT FORMS

These new patient forms are available if you would like to fill them out before your appointment. If you fill out these forms prior to your appointment, you may arrive 15 minutes before your appointment, instead of 30 minutes.

CONSENT FORMS

PATIENT HISTORY FORMS

Acknowledgement of Receipt of Privacy Practices

Assignment and Release of Information

General Info for Patients

Global Consent Form

HIPAA Patient Consent Form

Medicare/Medicaid Auth

Patient Medical History

Patient Demographic Information

Massage Patients will only need to fill out the two forms below.

Massage Patient History Form

Massage Patient Consent Form

Verification of Authenticity for Pain Management

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