Patient Forms

Before your visit to TCOP, please download and fill-in the first two forms below. The additional forms below are for your reference to those that you are signing. Bringing these forms with you to your visit will allow our medical receptionists to serve you in an efficient manner. In addition, be sure to bring your Health Insurance cards with you to your visit.

Thank you!

PATIENT REGISTRATION.PDF DOWNLOAD VIEW
HIPAA PT AUTH SHEET 9-2016.pdf DOWNLOAD VIEW
NOTICE OF PRIVACY PRACTICES 2016.pdf DOWNLOAD VIEW
PATIENT BILL OF RIGHTS.pdf DOWNLOAD VIEW
Veteran Bill of Rights .pdf DOWNLOAD VIEW
MEDICARE DMEPOS SUPPLIER STANDARDS 2014.pdf DOWNLOAD VIEW
DIABETIC PATIENT INFORMATION LETTER(1).pdf DOWNLOAD VIEW
PROSTHETIC ADJUSTMENT APPOINTMENTS.pdf DOWNLOAD VIEW

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