Family Medical Group

NASH, TX

Wake Village, TX

Texarkana, TX

Our Forms

For your convenience, we have made several forms available to you through our web site. Simply download and print the necessary documents below, fill them out at your convenience and bring them with you on your next visit.

New Patient Form

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Patient History

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Consent for Treatment

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Consent to Communicate

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Financial Policy

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HIPAA Notice

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Authorization to Release

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Epworth Sleepness Scale

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Health Risk Assessment for Medicare Annual Wellness Visit

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Checklist for Your Annual Medicare Wellness Visit

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