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    • Home
    • About Us
    • Services
    • Surgery
    • Hearing Aids
    • Directions
    • Forms
    • Testimonials
  • Home
  • About Us
  • Services
  • Surgery
  • Hearing Aids
  • Directions
  • Forms
  • Testimonials

FORMS

Please click on the following links to access patient paperwork.
These can be printed out and completed before your visit.

Patient Self Referral & New Patient Packet (pdf)Download
Notice of Privacy Practices (pdf)Download
Billing and Payment Policy (pdf)Download
Nondiscrimination Notice (pdf)Download
Language Taglines (pdf)Download
Release of Medical Records (pdf)Download
Doctor Referral To Our Office (pdf)Download

Copyright © 2022 Dr. Mark E Reader - Ear & Sinus - All Rights Reserved.

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