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Patient Portal

Please print and complete the following forms and bring to the office during your initial visit. Optional forms are only needed if relevant to the service requested.

Required Documents

Optional Documents

Below are links to important patient care and rights information. Please review the following information prior to your initial visit.

Durable Medical Equipment Supplier Standards
Everything HIPAA: Understand Your Rights
Americans with Disabilities Act: Understand Your Rights
New and Existing Amputees will find a wealth of Advocacy Information at the Amputee Coalition of America