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Michele Schneider, MD  

Patient-Centered Family Medicine

 

Forms

Listed below are commonly used forms for the office.    
 

Patient Registration Form - Please print, complete and bring with you to your first visit. Click here for Microsoft Excel version or here for webpage version.

Financial Responsibility Agreement - Please print, sign and bring with you to your first visit.  Click here for Microsoft Excel version or here for webpage version.

Notice of Privacy Practice - as required by the Health Insurance Portability and Accountability Act (HIPAA).  Click here for Microsoft Word version or click here for webpage version.