Thank you for choosing Hermes Healthcare

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Please click on the files you would like to download. They will open in a new window and are available to download.

New Patient Forms for Microsoft Word Users

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NEW PATIENT LETTER

NOTICE OF PRIVACY PRACTICES

CONSENT TO TREAT (please fill out and return)

PATIENT INFORMATION FORM (please fill out and return)

PATIENT MEDICAL HISTORY (please fill out and return)

FINANCIAL RESPONSIBILITY (Please fill out and return)

New Patient Forms in PDF Format

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NEW PATIENT LETTER

NOTICE OF PRIVACY PRACTICES

CONSENT TO TREAT (please fill out and return)

PATIENT INFORMATION FORM (please fill out and return)

PATIENT MEDICAL HISTORY (please fill out and return)

FINANCIAL RESPONSIBILITY (please fill out and return)