Client and Provider Forms

[mk_page_section][vc_column][mk_padding_divider size=”20″][mk_fancy_title tag_name=”h1″ size=”28″ font_weight=”bold” margin_bottom=”00″ font_family=”Gabriela” font_type=”google”]Client and Provider Forms[/mk_fancy_title][mk_padding_divider size=”20″][/vc_column][/mk_page_section][vc_row][vc_column][vc_column_text]For your convenience we have placed standard client forms below, for you to easily print and complete before your appointment. Save time and fill out information before you arrive for your first appointment, all in the convenience of your own home. Forms will also be able at your appointment.[/vc_column_text][/vc_column][/vc_row][mk_page_section][vc_column width=”1/3″][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2018/02/new-patient-registration-form-llc-2018.pdf” target=”_blank” align=”center” fullwidth=”true”]NEW PATIENT REGISTRATION FORM[/mk_button][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2019/01/consent-general-and-hipaa-2019.pdf” target=”_blank” align=”center” fullwidth=”true”]GENERAL CONSENT FORM[/mk_button][/vc_column][vc_column width=”1/3″][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2018/02/hipaa-notice-of-privacy-practices-llc-2018.pdf” target=”_blank” align=”center” fullwidth=”true”]HIPAA NOTICE OF PRIVACY PRACTICES[/mk_button][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2019/02/meyer-referral-form-fillable-2019-llc.pdf” target=”_blank” align=”center” fullwidth=”true”]REFERRAL FORM[/mk_button][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2019/01/meyer-llc-2019-credit-card-policy.pdf” target=”_blank” align=”center” fullwidth=”true”]CREDIT CARD POLICY[/mk_button][/vc_column][vc_column width=”1/3″][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2018/02/new-pt-responsiblities-ltr-llc-may-2018.pdf” target=”_blank” align=”center” fullwidth=”true”]NEW PATIENT RESPONSIBILITIES LETTER[/mk_button][mk_button corner_style=”rounded” size=”large” url=”https://www.janaimeyer.com/wp-content/uploads/2018/11/2017-photo-video-written-permission.pdf” target=”_blank” align=”center” fullwidth=”true”]PHOTO / VIDEO RELEASE – OPTIONAL[/mk_button][/vc_column][/mk_page_section][mk_page_section][vc_column][vc_column_text css=”.vc_custom_1537983056095{margin-bottom: 0px !important;}”]If you have any questions about these forms please feel free to contact us.[/vc_column_text][/vc_column][/mk_page_section]

Leave a Reply

Your email address will not be published. Required fields are marked *