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Notice of Privacy Practices
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Aviso de Prácticas de Privacidad
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Declaración para recibir la dosis de refuerzo
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Good Faith Notice
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Estimación de buena fe
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Historial médico de atención oftalmológica
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Manual del paciente ’22
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Authorization for Treatment of a Minor – Dental – 8/15/23
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Autorización para tratamiento del menor Dental – 8/15/23
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Adult Flu Vaccine & Acknowledgement Form 9-20-23
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Formulario de consentimiento para la vacuna contra la influenza 9-20-23
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Authorization for Treatment of a Minor, Medical, – Notary – 01/02/24
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Autorización para tratamiento del menor – Médico 01/02/24
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Daycare / Pre-School Physical Form
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Forma Física Escolar
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School Physical Form
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Evaluación Física Preparticipación Deportiva
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Sports Preparticipation Physical Evaluation
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Cuestionario de Edades y Etapas (Edades 0-5 años)
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Ages and Stages Questionnaire (Ages 0-5 years)
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Patient Rights and Responsibilities
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Derechos y responsabilidades del paciente
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Forma De Registro Del Paciente
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New & Annual Patient Acknowledgement & Consent Form (English)
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Formulario de Reconocimiento y Consentimiento para Pacientes Nuevos y Anuales
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