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New Patient Paper Work

Dear Patients, Welcome to Associates in Internal Medicine, P.C. . Because we know your time is valuable, we have posted the required New Patient Paper Work on our website for your convenience. Please download, read and bring the completed and signed papers with you when you come in for your visit. Some of this paperwork is government mandated. We apologize that it is so lengthy. All of the required paper work will be scanned into your chart for future reference. Office policies must be signed in order to establish yourself as a patient with our group. If for some reason pages to not print clearly, please do not fill them out. We will supply a clear copy to you when you come into the office. Please be advised that if we accept your insurance, you will be required to present a copy of your insurance card every time you visit the office.

Please Download, Complete and Sign

Please note: to view these forms, you must have Adobe Acrobat installed on your computer.  To download and install a free copy of the Acrobat reader, click here.