NEW PATIENT FORMS

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Once you have called the office and scheduled a New Patient appointment, you can print the New Patient forms below, complete and either email to barrygritzmd@gmail.com or bring with you to your appointment. Otherwise, please arrive 10-15min before your appointment to allow yourself time to fill them out.

PRIMARY INSURANCE INFO

RELEASE OF INFO

CONFIDENTIAL HISTORY

MEDICARE MEDICAID OPT-OUT

HIPAA

PATIENT AGREEMENT

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If you have any questions regarding the New Patient forms please call the office.