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      Click the logo to visit our page
           on the bestcare.org site


Please find our New Patient Form and Medical Records Release Form available for download in PDF format below.

  •   New Patient Form (PDF - 101K)
     
     Please print and complete this form, and bring it with you on your
      first office visit.


  •   Release of Medical Records Form (PDF - 38K)
      
    This form may be printed, completed, and brought with you to the
      office, mailed (our address), or faxed to 402-354-0738