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Forms & policies

To help save you time, we’ve gathered all the important forms and office policies right here

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General forms & policies

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Florida Patients Rights & Responsibilities

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Informed Consent for Telemedicine

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Request Medical Records

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Request for Correction or Addendum for PHI

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Request for Account of Disclosure

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Request for Confidential Communications

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Notice of Patient Privacy

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Non-Discrimination Notice

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Language Assistance and Interpretation Services

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Request for Restriction and Limitation of Protected Health Information

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Terms of Use

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Website Privacy Notice

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Social Media Guidelines

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Disclaimer

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Cookies Notice

Billing and Collections

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Patient Financial Assistance Policy

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Financial Assistance for Medical Care

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Financial Assistance Application Checklist

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Financial Assistance Application

Well Visit Assessment Forms

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TB (Tuberculosis) / Cholesterol Risk Assessment

Attention Deficit Disorder & Hyperactivity Disorder Packet (ADHD)

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Parent Packet

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Parent Packet Follow-Up

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School Packet

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School Packet Follow-Up

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