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© 2010 Dr. Russell O. Schub, P.A.

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Forms

 

All Patients

Please review the HIPAA form below prior to your appointment.
 

HIPAA Privacy Notice

 

 

New Patient Forms

If you are a New Patient please print and complete the following forms prior to your visit:

 

New Patient Forms

 

 

Established Patient Forms

If you are an Established Patient and have not been seen in the past twelve months please print and complete the following forms prior to your visit:

 

Established Patient Forms