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Patient Info
 

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Form A - New Patient Paperwork Form A - New Patient Paperwork

If you are a new patient, please download and complete these forms prior to visiting our office.


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Form B - Medical Records Release Form B - Medical Records Release

Medical Records Release.


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Form C - Nuclear Instructions and Directions Form C - Nuclear Instructions and Directions
Nuclear Instructions and Directions.

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Form D - Referral Form Form D - Referral Form

Referral Form.  Please fill out all information and fax to 919-881-0887.  We will contact your patient to set up an appointment time and alert you once the apppointment time is confirmed.  We thank you for your trust in caring for your patients.         


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