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home.
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contact us.
There are three forms that you will be kindly requested to complete prior
to your first visit.
The first is a health history form outlining your general medical health.
We are currently transitioning to an Electronic Health Record. If
your visit with Dr. Rao is scheduled on or after February 15, 2011, you will
receive an email with instructions on completing this form online and do not
need to download this form here. You may access the portal to securely submit
your health information online here.
Please keep in mind that you will need a user name and password provided
by our office prior to completing this information online. If your visit is
prior to February 15, you may download the form here. Please complete this
form to the best of your ability. This will help your doctor & save
you time on the day of your visit. To download a health
history form, click here.
The second is a new patient information sheet. You
are not yet able to complete this and the third form online. To
download a new patient
information sheet, click here.
Lastly, please review and sign our Notice of Privacy Practices for Protected
Health Information. We are committed to protecting the privacy and confidentiality
of your health information. To download a notice
of privacy practices, click here.
If
you are a physician and would like a form to request
a consultation, click here.
You will require Adobe Reader to download the forms. If you do not have Adobe Reader you can download it free here. Alternatively, if you would prefer, we would be
happyto mail you all three forms.
