FORMS

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Copyright © 2008 Flint Hills Family Medicine 

Flint Hills Family Medicine

              21st Century Technology with 20th Century Service

Patient Information Forms

Registration Form

HIPPA Form

Responsibility Form

All 3 forms in one

 

Vaccine Information Sheets

DTP

Hep A

Hep B

MMR

Influenza (FLU) English

Influenza (FLU) Spanish

Varicella

(Chicken Pox)

HIB

Pre-Teen HPV

Info Sheets

English

Pre-Teen HPV

Info Sheets

Spanish

Td

Tdap

 

 

 

 

Other Documents

Accepted Insurances

USD 253 Physical  form

Handicap parking form

 

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