Forms

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Ċ Addendum_to_Treatment_ForensicPatients11.pdf
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Addendum to Treatment Forensic Patients   70k v. 2 Jun 1, 2011, 2:16 PM Michael Gombatz
Ċ A_Notice_of_Privacy_Practices_HIPPA11.pdf
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A Notice of Privacy Practices: HIPPA   148k v. 1 Jun 1, 2011, 2:12 PM Michael Gombatz
Ċ Informed_Consent14.PDF
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Informed Consent: Including Fees & Services. Please print, fill out, and bring in with you. Thanks!   72k v. 1 Mar 31, 2014, 11:38 AM Michael Gombatz
Ċ SPEC_Patient_Info_Form11.pdf
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SPES Patient Information Form: Please print, fill out, and bring in with you. Thanks!   61k v. 1 Jun 1, 2011, 2:14 PM Michael Gombatz
Ċ SPES_HIPAA_Consent_Form11.pdf
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SPES Consent Form: Please print, fill out, and bring in with you. Thanks!   78k v. 1 Jun 1, 2011, 2:14 PM Michael Gombatz
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