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Step 1. Fill out this New Patient Registration Form
Step 2. Make sure these 4 documents have been completed. We will not be able to schedule you for an appointment until we have received all of this information.
Patient Policies – https://hipaa.jotform.com/213308560398055
HIPAA authorization – https://hipaa.jotform.com/213316515566051
ID + insurance card – https://hipaa.jotform.com/220176537233048
Health History – https://hipaa.jotform.com/213308308256149
Step 3. If you were previously a Full Spectrum Health patient or if you would like us to be able to talk to any other healthcare provider, case manager, etc., please fill out the release of information (ROI) linked below.
Release Of Information (ROI) – https://hipaa.jotform.com/
Step 4. We will reach out to you within 7-10 business days to schedule an appointment.