Patient Forms

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Primary Care New Patient Intake Forms

Please fill this out and bring with you to your first appointment.

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4CMG Cash Pay Schedule

 

View Cash Pay Fee Schedule for each service.

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Medical Release Form

 

Request an authorization to share Patient medical information with other parties.

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Counseling/Psychology New Patient Intake Forms

Counseling/Psychology New Patient Intake Forms.

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Endocrinology New Patient Intake Forms

View the Endocrinology New Patient Intake Forms for 4C Medical Group.

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Neurology New Patient Intake Packet

Please fill this out and bring with you to your first appointment.

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