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Premier Family Medicine

Premier family medicine

Premier family medicinePremier family medicine

Patient Forms

Please download, print, and complete the forms below prior to your appointment.

Medicare Wellness Visit Form (pdf)Download
Medicare - 7-26-23 (pdf)Download
HIPPA - 7-26-23 (pdf)Download
Power of Attorney - 7-26-23 (pdf)Download
25 Years & Older (pdf)Download
24 Years & Younger (pdf)Download
Authorization for Use & Disclosure (pdf)Download

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