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FORMS
Notice of Privacy Practices
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Patient Contact Information Sheet
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Financial Policy
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Medical History
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Authorization to Disclose Health Information
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FORMS
AtLast Cover Letter
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AtLast Patient Agreement
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AtLast Patient Paperwork
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If you are already a patient at Express Care or Medical Associates, you only need to complete the AtLast Patient Forms below.
If you are not currently a patient of Express Care nor Medical
Associates, please complete the Express Care Patient Forms above as well.
NPP Handout
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E-Prescribing PBM Consent
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AtLast Forms
Locally Owned & Operated • Highly Trained Staff • Most Insurances Accepted
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