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New Patients
Instructions: Click on the links below to access the New Patient Form and Privacy Statement form. After you click the links, a new browser window will open. After it opens, click on the 'PRINT' icon on your Browser. After the forms print, fill them out and bring them into our office. Completing the New Patient Information form and Privacy Statement form will save you time on your initial visit! New Patients, please complete the New Patient Form prior to your visit. Wound Care Patients, please complete the Wound Care Assessment Form prior to your visit. New Patient Forms: Patient Privacy: *You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free. |
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Home | About Dr. Schultheiss | About Dr. Nguyen | Office Information | Services | New Patients | Common Disorders Copyright (c) 2008 Howard L. Schultheiss, Jr., DPM |