Harbor Medical Associates, Inc.
Harbor Medical Associates, Inc.
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Patient Registration and Consent Forms

Download our patient  contract forms and return them before your appointment. 

Patient Demographic Information (pdf)Download
Patient Financial Information (pdf)Download
Patient Medical History (pdf)Download
Legal Guardinan's Authorization to treat Patient (pdf)Download
Confidentiality Policies (pdf)Download
Consent for Treatment & Notice of Policies (pdf)Download
Informed Consent for Telemedicine Services (pdf)Download
Authorization for Release of Information (pdf)Download
Request for Electronic Access and Authorization for Email Communication (pdf)Download

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