Garfield Heights
Twinsburg
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Forms
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Below are forms that you may wish to download and complete prior to your office
visit. This can expedite your check-in, and allow you to be seen in a more timely
fashion. For new patients, please fill out the Patient Registration Form, the Medical
History Questionnaire, and the HIPPA Disclosure Authorization Form. If you are being
seen for a new pregnancy, include the Prenatal Screening Questionnaire. Returning
patients may omit the Medical History Questionnaire, unless there have been significant
changes in your medical history. Please take a moment to review South Suburban's
Financial Policy. Thank You.
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