Documents
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Patient Registration Form and Financial Policy--This form is for all new patients to our office. It requests basic demographic and insurance information. The opposite side states our financial policies.
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GI History Form--Used to obtain medical history for patients coming to see one of our Gastroenterology specialists (GI).
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Patient History Form-- Documents medical history for new patients being seen in Cardiology, Nephrology, and Neurology. GI patient, please use above form.
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Medical Records Release Request--To have your medical records sent to another facility.
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Privacy Notice--Privacy Policy for Harrisonburg Medical Associates. Explains how we use your Personal Health Information (PHI).