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Dynamic Healthcare Team
Home
About Us
Contact Us
COVID-19 UPDATES
Patient Portal
Online Bill Pay
More
  • Home
  • About Us
  • Contact Us
  • COVID-19 UPDATES
  • Patient Portal
  • Online Bill Pay
  • Home
  • About Us
  • Contact Us
  • COVID-19 UPDATES
  • Patient Portal
  • Online Bill Pay

New patient paperwork

Health History Form (pdf)Download
Telehealth Form (pdf)Download
CCCR, Finacial Policy, & Receipt of Notice (pdf)Download
AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION To DHCT (docx)Download
AUTHORIZATION TO RELEASE HEALTHCARE INFORMATION (docx)Download
Consent and Contract for Controlled Substances (docx)Download
NP Application 11723 (docx)Download

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