Sweetwater Spine Clinic
Sweetwater Spine Clinic
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History & Physical

The History and Physical Exam, often called the "H&P" is the starting point of the patient's "story" as to why they sought medical attention or are now receiving medical attention. The Physical Exam includes both objective and subjective assessments of the patient's physical being.

Medical Records Release Request

A Medical Records Release Form is used to request that a health care provider (physician, dentist, hospital, chiropractor, psychiatrist, etc.) release a patient's medical records, either to the patient, a third party (such as an employer or insurance company), or both.

Health Information Disclosure

This form is for use when such authorization is required and complies with the Health Insurance. Portability and Accountability Act of 1996 (HIPAA) Privacy Standards.

Sweetwater Spine Clinic Forms

Download and fill out the forms as advised by the SSC staff. If you have questions or difficulties please contact our office.

New Patient Paperwork (pdf)

Download

Health Info Disclosure (pdf)

Download

Assignment of Benefits (pdf)

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Informed Consent to Treatment (pdf)

Download

Medical Records Release (pdf)

Download

1408 Hailey Street

Sweetwater, Texas 79556

(325) 235-9355

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