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Past patient at Buffalo Run? Tell us how we did… Click the Buffalo. |
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The following forms are required to be filled out by the patient or their legal guardian upon their initial evaluation at the clinic. Please feel free to fill out the forms beforehand and bring them with you to your appointment. Also remember to bring your insurance card and physician’s order. |
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Please fill out all applicable portions of this form and print it for your first appointment. Click the Buffalo to reach the form. |
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This does not need to be printed, however it must be read before the next form can be completed. Click the Buffalo to reach the form. |
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Sign and date this form. It is a consent to treat as well as acknowledging that you have received the HIPPA notification Click the Buffalo to reach the form.
Click the Buffalo to reach the form. |
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Please fill out all applicable portions of this form and print it for your first appointment. Make sure to include all prescriptions you are taking, include another sheet if necessary. Click the Buffalo to reach the form. |
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Patient Forms |
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