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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 |  |
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| HIPAA PT AUTH SHEET 6-18-18.pdf | |
DOWNLOAD | VIEW |
| NOTICE OF PRIVACY PRACTICES 2018.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.pdf | |
DOWNLOAD | VIEW |
| PROSTHETIC ADJUSTMENT APPOINTMENTS.pdf | |
DOWNLOAD | VIEW |