Patient Education

The general self-efficacy scale (pdf)

AHA patient opioid factsheet (pdf)

CDC Guidlines (pdf)

DrugDiversion082715 (pdf)

Healthy Eating Nutrition (pdf)

Pain Journal rev (pdf)

PCS Scale Template (pdf)

PMQ Pain management questionaire (pdf)

Quit Smoking 2018 (pdf)

SE18016 CMS Opioid Part D Program (pdf)

SELF EFFICACY SCALE edited version (pdf)

1. HIPAA - 1001 NEW AUTHORIZATION FORM (pdf)

2. PRF-1002 PATIENT REGISTRATION FORM (pdf)

3. PPH -1003 PATIENT PHYSCIAL HISTORY (pdf)

4. DRPTA - 1004 DR. PT. AGREEMENT FORM (pdf)

5. CPHI - 1005 CONSENT PROTECTED HEALTH INFO (pdf)

6. PRA - 1006 Prior Medical Information Acknowledgement (pdf)

6. CNS - 1006 CANCELLATION NO SHOW rev 2 2021 (pdf)

7. SOAPP - 1007 (pdf)

8. UDS - 1008 URINE DRUG SCREEN PROCEDURES (pdf)

9. PRP - 1009 Patient Residence Policy (pdf)

10. NOPP - 1010 PRIVACY PRACTICES (pdf)