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Davison Office
(810) 653-9060
Lapeer Office
(810) 664-1250
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Forms
Complete these 3 forms for new patients and updates
1.
Medical History Form
2.
Financial Policy Form
3.
Consent Form
4.
HIPAA Form
Authorization to Treat a Minor Form
1.
Authorization to Treat a Minor Form
Physician Fax Referral Form
1.
Physician Referral Form
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