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Referral Form with MAP.pdf
File Size: 295 kb
File Type: pdf
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New Patients, Please complete these four forms, then please bring, mail, or fax to our office with insurance card(s) and driver's license. Please see directions under "Contact Us"...
                                 (This process gets your chart ready so we can schedule your 1st appointment.)

If you have any questions regarding paperwork, please call 530-891-4456

health_history.pdf
File Size: 141 kb
File Type: pdf
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notice_to_all_patients.pdf
File Size: 83 kb
File Type: pdf
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consents.pdf
File Size: 1094 kb
File Type: pdf
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patient_info.pdf
File Size: 73 kb
File Type: pdf
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If you have questions about your insurance coverage, (we are Medicare providers, and we're in-network with "the Blues"), please download the form below to guide you through a call to your plan to verify your benefits: 
patient_benefit_verification_questionnaire.pdf
File Size: 76 kb
File Type: pdf
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