PATRICIA TANYA WADE MD LLC

Available Forms

Demographics Medical Information Release and Assignment of Benefits Methods of Contact New Patient Questionnaire OFFICE POLICY FOR PATIENTS AND FAMILY MEMBERS Pre Office visit Questionnaire Televisit Consent Form Terms of Receiving Test Results

Terms of Receiving Test Results

Patricia T. Wade, M.D. LLC

Terms of receiving test results:

It is the policy of this office that any and all results are to be discussed with Patricia Wade, M.D. in a follow-up visit.

I acknowledge and agree to this policy. I understand that I must make a follow-up appointment in order to receive my results of any test or labs that have been performed.

Patient Initial

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Patient Name (PLEASE PRINT)

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