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Patient Portal and Office Forms

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In an effort to be paperless as well as optimize office hygiene in light of COVID-19, new and existing patients may use the Patient Portal to fill out Online Forms.

For your convenience, PDF forms are also included below to view or use alternatively.

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The COVID Health Questionnaire is REQUIRED < 24hrs. prior to EACH scheduled appointment. Telehealth Consent is required to utilize electronic/remote services. A signed copy of the COVID Office Guidelines is required for both existing and new patients.

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Thank you for your cooperation and understanding. #flattenthecurve

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- Dr. Whitney

HIPPA: To review the Notice of Privacy Practices, please copy and paste this link into your web browser: 
https://www.hhs.gov/hipaa/for-individuals/guidance-materials-for-consumers/index.html

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