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    • Home
    • Our Services
    • Providers
    • Patient Forms
    • Insurance
    • Injections Offered
  • Home
  • Our Services
  • Providers
  • Patient Forms
  • Insurance
  • Injections Offered

Downloads

FAMSI MEDICAL RECORDS RELEASE (pdf)Download
FASMI NEW PATIENT FORM (pdf)Download
FASMI NOTICE OF PRIVACY PRACTICES (pdf)Download
FASMI NOTICE TO PATIENTS INSURANCE PARTICIPATION AND REFERRALS (pdf)Download
FASMI PATIENT FINANCIAL POLICY AGREEMENT (pdf)Download

We understand your time is valuable

PLEASE REMEMBER TO BRING COPIES OF ALL MEDICAL RECORDS AND IMAGING  WITH YOU TO YOUR APPOINTMENT. SHOULD YOU FAIL TO BRING THEM, YOUR APPOINTMENT MAY BE RESCHEDULED AT THE DISCRETION OF THE PHYSICIAN.


   

IN ORDER TO KEEP APPOINTMENT TIMES ON SCHEDULE, YOUR PROVIDER MAY ASK YOU TO FOLLOW UP FOR ADDITIONAL CONCERNS IN ORDER TO ADDRESS EACH ONE FULLY.


THANK YOU IN ADVANCE FOR YOUR COOPERATION


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