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Patient Info

Getting Ready for Your Visit

At Minor & James Medical, we want your visit to be as easy as possible. In order to speed up your check-in process, we encourage you to fill out any applicable forms before your appointment and turn them in to your patient services representative at time of check-in.

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

  • Photo ID
  • A list of your current medications
  • Any and all x-rays films
  • Insurance information and card
  • Information about what treatments and medications have been tried in the past
  • Medical records from prior visits that you think may be helpful
  • New Patients: download a patient registration below

Document Download Patient Forms

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

 General Patient Forms New Patient Packet
Patient Registration Form
Medical History Form
Questionnaire for Non-OB/GYN Patients
Authorization to Consent to Medical Care and Treatment of a Minor
Authorization to Leave Personal Health Information by Alternative Means
Privacy Complaint Form
HIPAA Form
Notice of Health Information Practices
Medical Records  Authorization for Release of Medical Information
Authorization for Release of Imaging Records
Allergy & Immunology   Allergy_Patient_Instructions
Allergy_Adult_Medical_History_Questionnaire
Allergy_Child_Medical_History_Questionnaire
Ambulatory Surgery Center    Patient Rights and Responsibilities for the ASC
Protected Health Information in the Surgery Centers
"Speak Up" for ASC Patients
Dermatology Dermatology Health History Questionnaire
ENT  Allergy Packet
Patient Health History
First Hill Surgery Center Patient Rights and Responsibilities for the First Hill Surgery Center
Protected Health Information in the Surgery Centers
"Speak Up" for First Hill Surgery Center Patients
Imaging Authorization for Release of Imaging Records
CT Lung Screening Questionnaire
DXA Osteoporosis Questionnaire
MRI Questionnaire
UGI Small Bowel Questionnaire
Mammography Worksheet
HIPAA Form
Obstetrics & Gynecology Questionnaire 1 for OB/GYN Patients
Questionnaire 2 for OB/GYN Patients
Routine Preventative Care Disclosure Agreement
Orthopedics & Podiatry    Orthopedics_Podiatry_Medical_History_Form
 
 

Rheumatology

Medical History Form for Rheumatology

 

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