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Gender Care Resources
Monkeypox Resources and Information
Who We Are
Mission & History
Meet Our Staff
Location
Contact Us
What We Do
Services
Medical Library
Patient Forms
What To Expect
How To Pay
Pay Online
Insurance Plans Accepted
News & Events
Newsroom
Event Calendar
Photo Gallery
Join Our Mailing List
Important Links
Gender Care Resources
Monkeypox Resources and Information
Patient Forms
What We Do
Services
Medical Library
Patient Forms
What To Expect
Patient intake forms are available for download, please complete and bring to your visit. This will expedite the check-in process.
Demographic Form
Release of Medical Records from Previous Provider
Financial Responsibility Acknowledgement
Patient Medical History
Acknowlegement of Notice of Privacy Practice
New Patient Paperwork Fillable Version
Patient HIPAA Communication
Pediatric Forms
Pediatric Medical History
Financial Responsibility Acknowledgement
Demographic Form
Medical Release Form
Acknowledgement of Privacy Practices
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