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Sarah Paton, ND - Concierge Doctor

Phone (207) 200-5155 Fax (207) 510-2486

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Concierge Member Paperwork

Please fill out and bring these two forms to your first appointment:  


  1. Adult New Patient Intake Form
  2. Medical Information Form.

 

If you need me to mail you paper copies, just let me know.



Adult New Patient Intake + HIPAA Form (pdf)

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Medical Information Form (pdf)

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Notice of Privacy Practices - FYI only (pdf)

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Sarah Paton, ND

Phone (207) 200-5155 ~ Fax (207) 510-2486

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