![[ICO]](/icons/blank.gif) | Name | Last modified | Size | Description |
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![[PARENTDIR]](/icons/back.gif) | Parent Directory | | - | |
![[ ]](/icons/layout.gif) | np form.pdf | 2021-03-12 20:36 | 1.4M | |
| New Patient Paperwork.pdf | 2019-04-18 09:59 | 1.4M | |
| new patient letter 2.pdf | 2016-10-11 09:34 | 496K | |
| Hipaa.pdf | 2016-10-11 09:33 | 58K | |
| Authorization for release of protected health information-non TPO.pdf | 2016-10-06 11:49 | 58K | |
| patient_form.pdf | 2016-10-06 11:48 | 496K | |
| patient_info.pdf | 2014-06-19 14:01 | 76K | |
| IntroNew.pdf | 2011-01-12 13:52 | 1.0M | |
| health_history.pdf | 2009-01-12 14:50 | 788K | |
| Intro.pdf | 2009-01-12 14:22 | 67K | |
| pat.pdf | 2009-01-12 14:22 | 55K | |
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