A complete collection of new patient paperwork forms customized with your practice name, address, website, phone number and logo. 

 

*This package does not include the creation of website or logo. See other packages for these services.*

New Practice Patient Paperwork Collection - CUSTOM

$85.00Price
  • Contains: 

    - New Patient Medical and Psychiatric History Form

    - Consent for Treatment for Telehealth Form

    - Insurance Billing Authorization Form

    - Self-Pay Authorization Form

    - Credit Card Authorization Form

    - Release of Information Form

    - Notice of Privacy Practices (HIPAA) Form

Phone: 1 (800) 942-1435

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None of the information contained here constitutes legal or medical advice.

The information presented is informational and intended to serve as a reference for interested parties, and not to be relied upon as authoritative.

Your own legal counsel and healthcare providers should be consulted as appropriate.