FORMS

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New Patient Intake Form

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Required For All New Patients

Consent Forms

HIPAA, Informed Consent, and Financial Consent Form

Required For All New Patients

Consent To Treat Minor/Child

Complete this form to allow Dr. Beistline to treat your child when you are unable to accompany your child to their visit.

Click to Complete

Change of Information Form

Complete this form to report any changes to your information on file .

Click to Complete