Healing Internal Medicine Clinic

Healing Internal Medicine ClinicHealing Internal Medicine ClinicHealing Internal Medicine Clinic

Tel: 936.446.2227

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    • Home
    • Bio
    • Our Services
    • Vein Clinic
    • Patient Forms
    • Contact Us
    • Immigration Physical
    • Exámenes de Inmigración

Tel: 936.446.2227

Healing Internal Medicine Clinic

Healing Internal Medicine ClinicHealing Internal Medicine ClinicHealing Internal Medicine Clinic

  • Home
  • Bio
  • Our Services
  • Vein Clinic
  • Patient Forms
  • Contact Us
  • Immigration Physical
  • Exámenes de Inmigración

Downloads

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New Patient Form (pdf)

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Patient Health Questionnaire (Depression Screening) (pdf)

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Epworth Sleepiness Scale (pdf)

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Attention Deficit Hyperactivity Disorder (pdf)

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Anxiety Screening (pdf)

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Pain Screen (pdf)

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High Risk Screen (pdf)

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Venous History (pdf)

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Descargas (Español)

Debe tener el Adobe® Acrobat® Reader instalado correctamente en su computadora para ver e imprimir estos formularios. Si no tiene este software, descargue una copia gratuita desde aquí.

Nueva Forma del Paciente (pdf)

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Escala de Somnolencia por Epworth (pdf)

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Cuestionario Sobre La Salud Del Paciente (pdf)

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Patient Portal

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