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To ensure a smooth and personalized first appointment, please complete these forms prior to the appointment. 

You may choose to complete them online or print out the PDF form.

For PDF form, please email the completed forms to carinefamilymedicine@gmail.com or bring them to your appointment.

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As the required informations are extensive and could take up to 15-20 minutes to complete, we recommend that you will complete this process prior to your appointment.

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Thank you

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To complete form online, please click the button below: 

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To print out PDF forms, please print and complete the 2 forms below: 

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To view the Notice of Privacy, please click button below: