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The information on these forms helps us provide you with the best care and service possible and ensures that both your visits to our office and payment for those visits go smoothly. We take the privacy of your medical information very seriously and will also ask you to acknowledge that you are aware of our privacy practices. For your convenience, copies of our Notice of Privacy Practices and those forms may be reviewed and printed below. We urge you to fill them out beforehand and bring them to your first appointment to save you time in our office. To view these forms, you will need Adobe Reader software which is available as a free download by clicking here. |
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Related Documents:
- CTHCNPPCOMPLETE.pdf
Notice of Privacy Practices - CTHCDISCLOSUREAUTH.pdf
Authorization to Disclose Medical Information - CTHC_PATIENT_INFORMATION_FORM_6-9-09.pdf
Patient Information Form - Notice_of_Privacy_Practices_Acknowledgement.pdf
Acknowledgement of Notice of Privacy Practices - CTHCNewPatientForm.pdf
Medical History form for new patients of Central Texas Heart Center - FederalRaceEthnicityform.pdf
The Federal Government requires us to collect information on the race and ethnicity of our patients.


