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When visiting our office please bring your drivers license, insurance card, and completed copies of all 5 pages of the forms below.  If there is a co-pay required by your insurance, it is due at the time of your visit.  You must bring any X-rays, MRI's, as well as the reports and records with you to your appointment.

1.) Patient Registration Form

2.) Medical History Form (Please Fill Out Both Pages)

3.) SMC Medical Information Release Form

4.) Notice of Privacy Practices Acknowledgement

Notice of Privacy Practices

DMEPO Standards

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