Download Forms
Physician |
New Patient Visit |
Annual Exam |
Dr. John Posey |
Download |
None |
Dr. Stewart Niefield |
Download |
None |
Dr. Scott Lisse |
Download |
None |
Dr. Ronnie Sheena |
Download |
NONE |
Dr. Timberly Gilford |
Download |
DOWNLOAD |
Dr. Shi-tze Lu |
Download |
None |
DR. CHINELO OKOYE |
DOWNLOAD |
DOWNLOAD |
DR. WEN YANG |
DOWNLOAD |
DOWNLOAD |
SPECIALIST |
NEW PATIENT VISIT |
PATIENT QUESTIONNAIRE |
DR. SMITHA MANTHA (PODIATRY) |
DOWNLOAD |
DOWNLOAD
|
| RELEASE RECORDS TO US Request records from another entity (doctor's office, hospital, etc.) for release to our office with this form. |
DOWNLOAD |
Release Records from usRelease records from Associates in Medicine to another entity (patient, doctor's office, hospital, etc.) with this form. Please note that we charge a fee for records released to patients, insurance companies, law offices and any other non-clinical entity. This fee is $25 for the first 20 pages of records and $0.50 for each additional page. We charge this fee only to compensate for labor and materials related to the release of these records. We will not charge a fee for releases to physician's offices, hospitals or other entities involved in the patient's care. |
Download |