Thank you for completing these hard copy forms. I am working toward a fully online version but I am not there yet.
Please print, read, and sign on pages 10 (informed consent), 12 (HIPAA privacy policy) and 13 (release of information –if you are using insurance and/or to release me to reveal any information with your physician, family member, friend or anyone else, etc.) You can write the insurance and family member on the same release form. (Note: First One is in pdf form and the other is a Word document form of the same packet).
New Patient Packet Dr Jason Berman updated 3.7.2019
Thank you and see you soon.
JB