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If you have scheduled an initial visit at Emerald City Clinic, please print and fill out each of the following forms, and bring them with you to your appointment.
One of these...
...and each of the following:
- Client Fees and Payment Policies
- Informed Consent
- Email Policy - Informed Consent
- Notice of Privacy Practices - Acknowledgement
- Notice of Privacy Practices
If you have medical records from previous medical practitioners that you would like your Emerald City Clinic doctor to review prior to your First Office Call, please download, fill out, and send to that provider. Please keep in mind that it is standard for medical records to take 2-3 weeks to arrive.
