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Physician
New Patient Visit
Annual Exam
Dr. John Posey
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Dr. Stewart Niefield
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Dr. Scott Lisse
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Dr. Ronnie Sheena
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NONE
Dr. Timberly Gilford
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Dr. Shi-tze Lu
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DR. CHINELO OKOYE
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DR. WEN YANG
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            SPECIALIST                 
NEW PATIENT VISIT
PATIENT QUESTIONNAIRE
DR. SMITHA MANTHA (PODIATRY)
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RELEASE RECORDS TO US

Request records from another entity (doctor's office, hospital, etc.) for release to our office with this form.
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Release Records from us

Release 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.
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