FORMS.
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NEW PATIENT PACKET.
FILL OUT AND SEND BACK TO US.
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Annual Update.
If you haven’t filled these out in this calendar year, these are for you.
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TRANSFER RECORDS/INFORMATION.
IF YOU NEED US TO RECEIVE HEALTH RECORDS FROM ANOTHER OFFICE OR HOSPITAL.
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TRANSFER RECORDS/INFORMATION.
IF YOU NEED US TO TRANSFER RECORDS OR INFORMATION TO ANOTHER MEDICAL OFFICE OR HOSPITAL.
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Nexplanon Device Enrollment.
If you have spoken to Dr. Scalfano and you decide this is a procedure you need, these forms are for you.
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How to apply Emla Cream for Nexplanon procedure
Please apply cream generously, so that no skin is visible under the cream. Apply 1 hour prior to procedure, if possible.
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Telemedicine Consent Form
Download and sign so that you can participate in telemedicine visits.
