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New Patient Paperwork - Dr. Gerry

Please find below all the paperwork you will need as a new patient in Dr. Gerry's office. All files are in .pdf format and require Adobe Reader to view and print (free to download).

New Patient Info Sheet 2014.pdf

New Patient Health History 2014.pdf

New Patient Missed Appt Policy 2014.pdf

New Patient PHR Form 2014.pdf

New Patient HIPPA 2014.pdf

 For all new patients, please note we ask that you arrive 15 minutes prior to your scheduled appointment to allow processing of new patient paperwork. Please bring a copy of your insurance card, and remember your copay is due at the time of service.

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