Our Forms
thank you
Healthcare requires a lot of paperwork and follow-up to make sure you get the care you need.
Please help DR T's office staff and management by completing your patient forms.
Thank you,
DR T's Medical Staff
patient forms
New Patient Package: Please carefully read the information below. Print out and fill the New Patient Questionnaire completely. Bring it to your first appointment.
- Initial Visit Letter
- Notice of Privacy Practices
- New Patient Questionnaire (Spanish)
- New Patient Questionnaire (English)
Follow Up Package: Please fill out both forms and bring to your next appointment.
Procedure Information and Forms: Please read and follow pre-procedure instructions carefully. Fill out the first two pages and bring with you to the procedure.
Suboxone Detox Information and Forms: Please fill out all the forms and bring them to your first appointment.
How to Refer to DR T
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