Forms & Downloads

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Download the Disclosure Statement: Renae Helms
Download the Disclosure Statement: Benjamin Sturgeon
Download the Disclosure Statement: Leona Martinez
Download the Disclosure Statement: Dominique Dijkhuizen
Download the Disclosure Statement: Melissa Powell
Download the Disclosure Statement: Danielle Patterson
Download the Authorization to Release Medical Records to Matthews-Vu Medical Group
Download the Authorization to Release Medical Records from Matthews-Vu Medical Group
Download the Surprise Balance Billing Disclosure Form
Download the None
Download the None
Download the None
Download the HIPAA_Acknowledgement_Form.pdf
Download the HIPAA_Privacy_Notice.pdf
Download the Adult_Medical_History.pdf
Download the Pain_Management_Initial_Evaluation.pdf
Download the HIPAA_Consent_to_Share.pdf
Download the Authorization_to_Release_Medical_Records_to_Matthews-Vu_Medical_Group.pdf
Download the Authorization_to_Release_Medical_Records_from_Matthews-Vu_Medical_Group.pdf
Download the Consent_for_Patient_Reminders.pdf
Download the Financial_Policy.pdf
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