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We accept Medicare Assignment & most insurances

 

 

CDSS Patient Forms

All new patients need to complete new patient paperwork. For your convenience, the forms are available for download. Print, complete and bring the forms to your appointment!

Personal Information Form


Consent for Treatment


HIPAA Acknowledge Receipt


Medical History


Notice of Privacy Practices


Exhibit 10 - Authorization for Marketing


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Office Locations

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This practice is required, by law, to maintain the privacy and confidentiality of your protected health information and to provide our patients with notice of our legal duties and privacy practices with respect to your protected health information.