duromineweightloss.com Patient Registration - Cottage Med/Caring in Community

Patient Registration

Here is our brochure.

Brochure page 1 (4MB)

Brochure page 2 (6MB)

These links download our patient registration forms. 

Full patient registration packet (536K)
Page 1: Personal Information (112K)
Page 2: Consent to Care (124K)
Page 3: Consent for Release of Information (40K)
Page 4: Patient Medical History (128K)
Page 5: Review of Systems (176K)

Adobe Reader, a free program, is required to view the forms.