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Patient Forms

 
The following forms are available for your convenience.  You can download and print the appropriate form(s), fill them out and bring them with you to your appointment.  Please contact your doctor’s office if you are unsure of which forms you will need.

New Patients Should Complete one of the Following Patient History Forms:

New Patients Should Complete the Following Privacy Form:

  • HIPAA Consent
    As required by law, this form allows us to accommodate your privacy preferences.

New Patients Should Read and Sign the Financial Policy:

  • Financial Policy
    This policy explains our billing practices and the importance of understanding your medical coverage.

Other Forms as Needed:

 
 

© 2013 The Reading Hospital Medical Group
For more information, please call 610-988-HELP
2561 Bernville Road, Reading PA 19605

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