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Patient Forms

For your convenience, feel free to download and print the following forms before you come in for your appointment.

English:

  • Credit and Collection Policy
  • Patient Registration
  • Notice of Privacy Practices
  • General Consent Form
  • Credit and Collection Policy
  • Drug Screening

Español

  • REGISTRO DEL PACIENTE – Español
  • Credit and Collection Policy – Español
  • General Consent Form – Español
  • Notice of Privacy Practices – Español
  • Privacy Practices Receipt – Español

EMAIL: getwell@getwellcommunityclinic.com

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