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ONLINE FORMS

Filling Out a Form

NEW PATIENT PAPERWORK

Please complete ??

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RELEASE OF RECORDS TO BWC

Use this form to request records be sent to us from other providers.

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RELEASE OF RECORDS FROM BWC

Use this if you need us to send your records to another provider.

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NOTICE OF PRIVACY PRACTICES

Protected health information and privacy protection practices. For review before signing the Acknowledgement of Privacy Practices

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