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Forms Daniel Yokum 2020-10-03T11:22:31+00:00

Forms

Download a Telemedicine Consent form (pdf)

Download a Request for Records form (doc)

Download a Request for Records form (pdf)

Download a patient intake form (doc)

Download a patient intake form (pdf)

Download a pediatric (birth-6 yo) intake form (doc)

Download a pediatric (birth-6 yo) intake form (pdf)

Download a pediatric (7-17 yo) intake form (doc)

Download a pediatric (7-17 yo) intake form (pdf)

Download a HIPAA General Policy Form (pdf)

Treating the whole person, naturally