Ethan CT Pien, MD, LLC

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Please read  these forms prior to your first visit with me. 
practice_welcome.doc
File Size: 24 kb
File Type: doc
Download File

hipaa.doc
File Size: 34 kb
File Type: doc
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Please print and fill out these forms then bring them to your first visit.
hipaa_acknowledgement.doc
File Size: 15 kb
File Type: doc
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pt_demographics.doc
File Size: 19 kb
File Type: doc
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fees.doc
File Size: 10 kb
File Type: doc
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psychiatric_history2.pdf
File Size: 340 kb
File Type: pdf
Download File

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