Index of /clinic/drmontagneseendo/forms

	Name	Last modified	Size	Description
	Parent Directory		-
	Health History Form_1.pdf	2022-02-22 12:58	679K
	COVID-19 ACKNOWLEDGEMENT OF RISK AND HEALTH SCREENING FORM_1.pdf	2022-02-22 12:58	482K
	Referral_Slip.pdf	2010-05-20 09:25	380K
	Patient Referral.pdf	2020-05-11 15:05	194K
	Medication_Instructions_2018.pdf	2020-05-11 15:08	95K
	hippa.pdf	2010-05-20 09:25	79K
	PATIENT SATISFACTION QUESTIONAIRE, revised Feb 17, 2010.pdf	2016-06-30 14:37	74K
	Patient_Questionare1.pdf	2020-05-11 15:05	71K
	insurance_financial_policy.pdf	2010-05-20 09:25	58K
	IV_SEDATION_INSTRUCTIONS.pdf	2020-05-11 15:08	57K
	MEDICATION_INSTRUCTIONS_Revised 2007-Sep.pdf	2012-04-09 11:10	56K
	POST-OPERATIVE_SURGERY_INSTRUCTIONS.pdf	2012-04-09 11:12	51K
	MEDICATION_INSTRUCTIONS_Revised 2007-Sep(old).pdf	2010-05-20 09:25	51K
	PATIENT_SATISFACTION_QUESTIONAIRE,revised_2008_Dec.pdf	2010-05-20 09:25	50K
	Post-Surgery_Instructions.pdf	2020-05-11 15:08	50K
	Post-sedation instructions_1.pdf	2022-02-22 12:58	49K
	Our_Fees_and_Services.pdf	2010-05-20 09:25	48K
	IV_SEDATION_INSTRUCTIONS(old).pdf	2010-05-20 09:25	47K
	PERSONAL_INFORMATION.pdf	2010-05-20 09:25	46K
	Personal Info1.pdf	2020-05-11 15:34	44K
	medical_2020.pdf	2020-09-17 14:44	44K
	Financial Agreement.pdf	2016-06-30 14:38	42K
	CURRICULUM_VITAE.pdf	2012-04-09 11:14	42K
	COVID 19 Notice and acknowledgement of risk form1.pdf	2020-05-11 15:34	42K
	COVID 19 Patient Disclosures1.pdf	2020-05-11 15:34	41K
	Financial Agreement1.pdf	2020-05-11 15:34	34K
	Financial Agreement_2020.pdf	2020-09-17 14:48	33K
	insurance.pdf	2010-05-20 09:25	33K
	Post-Sedation_Instructions.pdf	2020-05-11 15:08	31K
	Patient Intro1.pdf	2020-05-11 15:34	26K
	Patient Info_2020.pdf	2020-09-17 11:03	24K
	patient_form.pdf	2010-05-20 09:25	21K