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Patient Forms
As part of preparing to provide you with the best possible care, we will need some information from you before you meet with the doctor.
When your appointment is scheduled, our office will let you know which forms need to be completed. Our forms are designed for you to fill them in on your computer or to print them and fill them out by hand.
Once your forms are complete, please bring them with you to your appointment or save them to your device/computer and return them by email to: admin@drjulieaburnham.com
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New Patient Packet (commonly required for new patient consultations)
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Migraine Questionnaire (to be completed only if instructed to do so)
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EMG Packet (commonly required for EMG Testing appointments)
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Record Release HIPAA Authorization (complete only if directed to do so)
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Insurance Update Form (complete by established patients when requested by the office)
Should you have any questions or simply need directions again, please feel free to call our office. We are happy to help.
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