Office Forms
by Dr. Michael | February 20, 2007 7:06 am
To save time, print out these forms and fill out before the first visit (make sure that you remember to bring the filled out forms for the first visit). You may also fax the forms to us at 440-943-6716.
Accident Questionnaire (If your had an auto or work injury, fill this out also.)
HIPPA Privacy Policy[1] (Save for your records)
Hippa Signature Form[2] (Please print and sign)
All forms are in .pdf format. You can download Adobe Reader Here[3], and Foxit Reader Here[4].
Email Dr. Michael[5] 
Links:
- HIPPA Privacy Policy: http://spinalalignment.com/wp-content/uploads/2009/02/advanced-spinal-care-center-hipaa-notice-of-privacy-practices.pdf
- Hippa Signature Form: http://spinalalignment.com/wp-content/uploads/2009/02/hippa-signature-form.pdf
- Adobe Reader Here: http://get.adobe.com/reader/
- Foxit Reader Here: http://www.foxitsoftware.com/pdf/rd_intro.php
- Email Dr. Michael: http://spinalalignment.com/contact/
Source URL: http://spinalalignment.com/next-step/office-forms/