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102 South Tenon St., STE 1100 Colorado Springs, CO 80903RECORD RELEASE FOR PSYCHOTHERAPY NOTES ONLY Patient Authorization for Disclosure of PHI (Psychotherapy Notes Only) Patient Name: ___ Patient
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How to fill out our patient forms for
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Begin by downloading the patient forms from our website or picking up a physical copy from our office.
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Fill out the forms completely and accurately, providing necessary personal and medical information.
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Make sure to sign and date the forms where indicated.
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Double-check your information for any mistakes or missing details.
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Bring the completed forms with you to your appointment and present them to the receptionist upon arrival.
Who needs our patient forms for?
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Anyone who is a new patient at our practice will need to fill out our patient forms.
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Existing patients may also need to fill out updated forms if there have been any changes to their personal or medical information.
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What is our patient forms for?
Our patient forms are used to collect important information about the patient's medical history and personal details.
Who is required to file our patient forms for?
Any patient seeking medical treatment or consultation is required to fill out our patient forms.
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Patient forms typically require information such as personal details, medical history, current medications, allergies, and emergency contact information.
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