Downloads

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Patient Registration (New Patient) (docx)

Patient Financial Responsibility (New Patient) (docx)

Consent Form (New Patient) (docx)

Notice of HIPAA Privacy Practices (New Patient) (docx)

Form I-693 (Immigration Exam) (pdf)

Immigration Exam Intake (docx)

Medical Records Release to Xcel Bilingual (docx)

Medical Records Release from Xcel to Another Provider (Bilingual) (docx)

Medical Records Release to Xcel (Bilingual) (docx)