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    • Home
    • About Us
    • Services
    • Your Team
    • Accepted Insurances
    • Contact Us
    • Forms
SynergyMed
  • Home
  • About Us
  • Services
  • Your Team
  • Accepted Insurances
  • Contact Us
  • Forms

Forms & Downloads

New patients, please complete: Registration, HIPAA and Responsibility Forms 

HIPAA Acknowledgement Form (pdf)

Download

Registration Form (pdf)

Download

Patient Responsibility Form (pdf)

Download

POLST Form (pdf)

Download

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