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 | Dr’s. Takacs, D.O.: New Patient Packet.zipIncludes all forms below in a .zip compressed archive. If you don’t already have a program to handle zip files, you can download and install this one from RARLab for free, available for PC, Mac, and more; click the link appropriate to your specific operating system. All PDF forms can be filled out with Adobe’s Acrobat Reader. |
 | Dr’s. Takacs, D.O.: Welcome Page.pdf |
 | Patient Privacy Notice Form.pdf(To be filled out) |
 | Dr’s. Takacs, D.O: Financial Policy Acknowledgement Form.pdf(To be filled out) |
 | Patient Registration Form.pdf(To be filled out) |
 | Dr’s. Takacs, D.O.: Health History Form.pdf(To be filled out) |
 | Authorization to Disclose Health Information.pdf(To be filled out) |
 | Dr’s. Takacs, D.O.: Privacy Practices.pdf |
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Downloadable Forms: Dr's. Takacs | |||
5909 SE Division St., Portland, OR 97206 | 503-234-1531 | |||
These forms are specifically for Dr. Joan Takacs, D.O. and Dr. John Takacs, D.O.