The links below will provide you with our patient welcome forms. Please print these out, complete them, and bring them with you when you come in for your first Outpatient visit. Thank you.
(For Neuromuscular patients seeing Dr. Felice or Dr. Whitaker)
(For patients with Medicare (or spouse with Medicare)
(For patients with Medicare (or spouse with Medicare)
Links:
[1] http://hfsc.org/sites/default/files/PDFs/OutPatient/Consent_Form.pdf
[2] http://hfsc.org/sites/default/files/PDFs/OutPatient/Outpatient_Health_History_MD.pdf
[3] http://hfsc.org/sites/default/files/PDFs/OutPatient/Medication_Reconciliation_Sheet.pdf
[4] http://hfsc.org/sites/default/files/PDFs/OutPatient/Directions_HSC_Physicians_Clinic.pdf
[5] http://hfsc.org/sites/default/files/PDFs/OutPatient/Neurological_History_Physical.pdf
[6] http://hfsc.org/sites/default/files/PDFs/OutPatient/Medicare_Secondary_Payer.pdf
[7] http://hfsc.org/sites/default/files/PDFs/OutPatient/Admissions_Notices_Agreements.pdf
[8] http://hfsc.org/sites/default/files/PDFs/OutPatient/Outpatient_Health_History_Th.pdf
[9] http://hfsc.org/sites/default/files/PDFs/OutPatient/Attendance_Agreement.pdf