Downloads

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Automatic Refill Summary for Patients (pdf)

Automatic Refill Enrollment (pdf)

Consultation and Financial Agreement (pdf)

Notice of Privacy Practices (NOPP) (pdf)

HIPAA (NOPP) Receipt Form (pdf)

Women's Initial Paperwok (pdf)

Women's Follow up Paperwork (pdf)

Men's Initial Paperwork (pdf)

Men's Follow Up Paperwork (pdf)

Automatic Refill Program Withdrawal (pdf)