[vc_row][vc_column][vc_column_text] [/vc_column_text][/vc_column][/vc_row][vc_row row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern” css=”.vc_custom_1545705183375{margin-right: 10% !important;margin-left: 10% !important;}”][vc_column][vc_column_text]If you are a new patient at the Prime Health Medical Center, you have the option of printing these forms, filling them out and bringing them with you at the time of your appointment.

• New Patient Registration Form – English (PDF)
• New Patient Information Sheet – English (PDF)
• Protected Health Information Release – English (PDF)
• Authorization to Release Info-Form – English (PDF)
• HIPAA Notice Privacy Practices – English (PDF)
• Medical Records Release Form – English (PDF)

[/vc_column_text][vc_empty_space][vc_column_text]Si usted es un paciente nuevo en la Clínica Comunitaria People’s, tiene la opción de imprimir estos formularios y completarlos para traerlos consigo a la hora de su cita.

• Forma de Registro – en español [PDF]
• Aviso de prácticas de privacidad – en español [PDF]
• Autorizacion para Divulgar/Obtener Informacion de Salud – en español [PDF]

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