Grey Muzzle Manor
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Important Forms
Important Forms
Please download the applicable form, fill out to the best of your ability, and bring with you to our first meeting. Thank you!
Patient Registration Form
Patient Registration Form
General History Intake Form
General History Intake Form
Informed Consent for Services and Service Agreement Form
Informed Consent for Services and Service Agreement Form
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HIPAA Notice of Privacy Practices Form
HIPAA Notice of Privacy Practices Form
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Acknowledgement of Receipt of Privacy Notification Form
Acknowledgement of Receipt of Privacy Notification Form
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GMM Release of Information Form
GMM Release of Information Form
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GMM Event Sponsorship Request Letter Form
GMM Event Sponsorship Request Letter Form
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Acknowledgement of Receipt of Privacy Notification Form
Acknowledgement of Receipt of Privacy Notification Form
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GMM Release of Information Form
GMM Release of Information Form
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