Patient Forms

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Prospective patients can download important forms and complete them prior to your first visit.

• New Patient Form
• Patient Information and Practice Policies
• Consent for Treatment
• Medical Records Request from Other Practice or Provider to MIM
• Medicare Notice of Noncoverage ABN
• Privacy Practices Patient Acknowledgement
• HIPAA Notice of Privacy Practices
  
• Directions to Mountain Integrative Healthcare

Please  contact me if you have problems downloading the documents.