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Accepting select Medicare Advantage Plans & Medicare.
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Packet Contents
• Welcome Letter
• Future Appointment Checklist
• Demographic Information
• Medical Records Release
• Personal/Family Medical History
• Screening Form
• Medication List
• Office Policy Agreement
• Referral Processing
• HIPAA Notice of Privacy Practices
• Privacy Practices
• Living Will / Advance Directive
• Designation of Healthcare Surrogate
• Research Letter
