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Call 1-888-730-2374
for information about services, to set up an appointment or to speak with a Financial Services Specialist.
Patient Forms

For your convenience, we've posted some of our more commonly used forms. You may download these forms, fill them out and deliver them to Palms Medical Group as your doctor requests.

Financial Forms

Chiropractic Forms

Acrobat Document Chiropractic New Patient Questionnaire
Acrobat Document Chiropractic New Patient Registration

New Adult Patient Forms

Acrobat Document Adult New Patient Forms (Eng)
Acrobat Document Registro Del Paciente (Esp)

New Pediatric Patient Forms

Acrobat Document Pediatric New Patient Forms

Acrobat Document Registro Del Paciente Pediantria (Esp)

Medical Records Release Forms

Acrobat Document Medical Records Release

NOTE: You must have Acrobat Document Acrobat Reader installed to view the file above.
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This institution is an equal opportunity provider and employer.
This health center is a Health Center Program grantee under 42 U.S.C. 254b,
and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).

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