If you are a new patient, please fill out the New Patient forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment along with your insurance card(s), copay, current medications, vaccination records and custody paperwork if applicable.
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully. • Notice of Privacy Practices (provided for you at your first visit)
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PATIENT FORMS + PRIVACY NOTICES
LOCATION Buckeye Family Health 1548 Sheridan Drive, Ste. 200 (map) Lancaster, Ohio 43130 P: 740-689-9860