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In order to
open the following files, you'll need Adobe® Acrobat Reader
(version 4.0 or later). You may download the program for
free by clicking
here, which will give you the download information for
it in a new browser window.
If
you are going to be a new patient to our office, please use
the links below to download and print our Patient
Registration Form and Medical History Form. Please fill out these forms and bring
them into the office for your scheduled appointment.
Patient
Registration Form
Medical
History Form
Vein Questionnaire
If
you are an existing patient and need a copy of your medical
records, please use
the link below to download and print our Medical Records
Release Form. Please
complete the form and bring the form and a photo ID to our office.
Medical
Records Release
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Ridgecrest
Medical Park
2801 New Hartford Road
Owensboro, KY 42303
Toll Free (877) SURGEON
(270) 926-1336
FAX: (270) 683-3797 |
Perry County Memorial Hospital
Professional Building
111 East Highway
66
Tell City, IN 47586
Toll Free (877) SURGERY
(812) 547-7448
FAX (812) 547-7331
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