Index of /clinic/metroplexendo/forms
Name
Last modified
Size
Description
Parent Directory
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EjemplosDeComoSeRevelaSuIPS.pdf
2010-05-27 09:13
327K
FinancialInformationForm.pdf
2010-05-27 09:13
354K
InformationParaLaAsignacionDelSeguro.pdf
2010-05-27 09:13
243K
InsuranceInformation.pdf
2010-05-27 09:13
349K
NoticeofPrivacyPractices.pdf
2010-05-27 09:13
701K
PatientRegistration.pdf
2010-05-27 09:13
540K
RegistroPaciente.pdf
2010-05-27 09:13
522K
SuInformationPrivadaDeSalud.pdf
2010-05-27 09:13
625K
referral.pdf
2010-05-27 12:04
194K
diagnosticagdo.pdf
2010-06-01 08:47
46K
SEGURO.pdf
2010-06-01 08:47
1.0M
Spanish_Pt_Registration.pdf
2010-06-01 08:47
1.0M
Root_Canal.jpg
2013-03-01 10:08
453K
Root_Canal.pdf
2013-03-01 10:16
917K
metroreferral.pdf
2013-03-01 10:17
160K
PATIENT_REGISTRATION2013.pdf
2013-06-20 13:00
151K
NOTICE_OF_PRIVACY_PRACTICES2013.pdf
2013-06-20 13:00
78K
PRIVACY_FORM2013.pdf
2013-06-20 13:01
43K
privacy forms.pdf
2016-07-29 13:50
207K
hippa.pdf
2016-07-29 13:50
231K
registration forms2016.pdf
2016-07-29 13:55
354K
privacy.pdf
2016-07-29 14:01
528K
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