DestinationCare Family Practice
DestinationCare Family Practice
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Forms

NOTICE OF PRIVACY PRACTICES (pdf)Download
ADVANCE BENEFICIARY NOTICE FOR MEDICARE PATIENTS (pdf)Download
PATIENT DEMOGRAPHIC INFORMATION (pdf)Download
PATIENT INTAKE FORM English - Vietnamese (pdf)Download
AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION English - Vietnamese (pdf)Download
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Destination Care Family Practice

Disclaimer

The information provided on this website is for informational and educational purposes only and does not constitute medical advice, diagnosis, or treatment, nor does it represent the practice of medicine. Destination Care Family Practice (DCFP) and its staff make no warranties or representations as to the accuracy, completeness, or reliability of the information on this website, including any content provided by third parties.
Use of this website does not establish or create a patient-physician relationship between DCFP and any user or visitor. DCFP is an independent medical practice.
Always consult one of our qualified healthcare professionals for any medical concerns. In case of a medical emergency, seek immediate assistance from emergency services. Reliance on any information provided on this website is solely at your own risk.


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