PHS, LLC

Please bring your insurance card and ID card with you for each visit and notify our front desk anytime your insurance coverage changes.
Instructions

New Patients:

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• New Patient Registration Form
• Notice of Privacy Practices
• Financial Policy
• Release of Medical Records
• Authorization to Release Information
• Adult Medical History (For Primary Care Patients)
• Adult Medical History (For Cardiology Patients)
• Allergy Update
• No Show and Cancellation Policy

Cardiology Forms and Documents:

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Covid-19 Forms & Information:

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• Covid-19 Vaccine Pre-Screening Form
• Johnson & Johnson Covid-19 Vaccine Information

Pediatrics Forms and Information:

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• Click Here

Sleep Medicine Forms:

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• Sleep Questionnaire
• Epworth Sleepiness Score
• Stop-Bang Questionnaire

General Forms:

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• Generic File Upload Form
• Form Completion Request
• We Welcome Your Comments!
• Mobile Privacy Policy NON-Marketing Policy
• Messaging Terms of Service

If you are looking for Printable Forms please click this: Printable Forms

Please note: These documents are in Adobe® PDF format. They require Adobe Reader() to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here!