TriStar Medical PartnersMark C. Stine, D. O.Kimberly A. Dean, D. O.Nicholas Z. Okeson, D. O.Jason H. Howard, D. O.
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Patient Forms


To make your first office visit run more smoothly and efficiently, please print and fill out the following forms and bring them with you on your first office visit.

 

Please arrive at your scheduled appointment 15 minutes early so that we may get your information as well as insurance on file at this time. Thank you and we look forward to your arrival.

 

Patient Authorization to release or discuss patient protected health information (PHI)

 

Office Policies Form

 

Medical History form

 

Patient Registration

 

Authorization for Release of Medical Records

 
 

 

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