{"id":24,"date":"2022-01-06T00:11:20","date_gmt":"2022-01-06T00:11:20","guid":{"rendered":"https:\/\/allgenerationsaudiology.fm1.dev\/patient-forms\/"},"modified":"2023-09-19T11:38:55","modified_gmt":"2023-09-19T15:38:55","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/allgenerationsaudiology.com\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n

Download and Print our Patient Forms<\/h3>\n\n\n\n

Patient forms can be completed and submitted online securely through our Patient Portal<\/a> or through the link sent to you via e-mail when you scheduled your appointment. They may also be printed below to complete and return to us at the office if you prefer.<\/p>\n\n\n\n

Step 1: N<\/strong>ew Patients<\/h2>\n\n\n\n

Please select one history form to complete based on your age.<\/p>\n\n\n\n

Adolescent Case History Online Form (Ages 6-18)<\/a>Download<\/a><\/div>\n\n\n\n
Adult Case History Online Form (Ages 19+)<\/a>Download<\/a><\/div>\n\n\n\n
Pediatric Case History Online Form (Ages 0-5)<\/a>Download<\/a><\/div>\n\n\n\n

Step 2: A<\/strong>ll Patients<\/h2>\n\n\n\n

HIPAA and financial policies must be reviewed and signed by all patients prior to their first appointment. They will need to be completed again any time there are updates to the policies.<\/p>\n\n\n\n

Notice of Privacy Practices (HIPAA)<\/a>Download<\/a><\/div>\n\n\n\n
Financial Policies Insurance Release Assignment of Benefits<\/a>Download<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

Download and Print our Patient Forms Patient forms can be completed and submitted online securely through our Patient Portal or through the link sent to you via e-mail when you scheduled your appointment. They may also be printed below to complete and return to us at the office if you prefer. Step 1: New Patients Please select…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":7,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"service_tags":[],"class_list":["post-24","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/pages\/24","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/comments?post=24"}],"version-history":[{"count":0,"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/pages\/24\/revisions"}],"wp:attachment":[{"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/media?parent=24"}],"wp:term":[{"taxonomy":"service_tags","embeddable":true,"href":"https:\/\/allgenerationsaudiology.com\/wp-json\/wp\/v2\/service_tags?post=24"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}