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No Need For "New Patient"
Medical History Forms!

Transition Physician realizes how hard it is to fill out new forms!

For this reason, we do not want you to worry about filling out more medical forms!  We will obtain most of your medical information from you at your initial home visit and from your medical records.

In order to obtain a copy of your medical records, all we need is your permission to obtain your records from the hospital and/or rehab facility.  If we have already made an appointment to see you, and you haven't already done so, please fill out the Consent for Treatment Form and fax it to us.  See the link below.




      It is our goal to make things as easy as
                          possible for you!


The only form we will need before the Transition Physician sees you for your initial visit is the Consent for Treatment Form, which will allow us to obtain medical records from the facility you are leaving (or have left).


Click below to download the form:

Consent for Treatment Form

Print the Form, fill it out, then fax the completed form to (866) 894-6524

[Note: The Consent for Treatment Form above requires Adobe Reader or some other program that will open a PDF file.  If you do not have such a program, you can download and install Adobe Reader for free by clicking on this link: Get/Install Adobe Reader Here]


Other than filling out the Consent for Treatment Form, YOUR job is to relax, build strength and get well! 

Your Transition Physician will obtain your medical history
from you personally at your initial visit, giving your Transition Physician an opportunity to really get to know you!

We look forward to seeing you!





  
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