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  • More
    • Home
    • Doctors
      • Dr. Walsh
      • Dr. Young
      • Dr. Blob
    • Team
    • Services
    • New Patients Forms
    • Insurance
    • Contact
      • Shawano Office
      • Appleton Office
    • Leave a review
      • Shawano Office
      • Appleton Office
  • Home
  • Doctors
    • Dr. Walsh
    • Dr. Young
    • Dr. Blob
  • Team
  • Services
  • New Patients Forms
  • Insurance
  • Contact
    • Shawano Office
    • Appleton Office
  • Leave a review
    • Shawano Office
    • Appleton Office

New Patients Forms

Demographic and Health History (pdf)Download
Authorization for Release of Information (pdf)Download
Acknowledgement of Notice of Privacy Practices (pdf)Download

 *Note: You may choose to complete the Acknowledgement of Notice of Privacy Practices upon arrival at the office. Upon request printed versions of our HIPAA policy is available to you. A digital version is provided below. 

Notice of Privacy Practices (pdf)Download

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