{"id":177,"date":"2018-09-19T03:37:11","date_gmt":"2018-09-19T03:37:11","guid":{"rendered":"http:\/\/michaelc279.sg-host.com\/?page_id=177"},"modified":"2023-12-04T10:52:44","modified_gmt":"2023-12-04T15:52:44","slug":"new-patient-forms-2","status":"publish","type":"page","link":"https:\/\/drpattypowers.com\/new-patient-forms-2\/","title":{"rendered":"New Patient Forms"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">New Patient Questionnaire<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/12\/new-patient-questionnaire-2023-11-30-1.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">New Patient Legal Documents<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/02\/new-patient-legal-docs-set-2023-02-13.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">Short form for Covid Issues<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/02\/new-patient-questionnaire-short-form-2023-02-13.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-2 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">Your Insurance Company &amp; OON Providers<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/02\/Your-Insurance-Company-and-Out-of-Network-Providers.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">WHC Authorization to <span style=\"text-decoration: underline;\">Request<\/span> Medical Records<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/02\/WHC-authorization-to-request-medical-records.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">WHC Authorization to <span style=\"text-decoration: underline;\">Disclose<\/span> Medical Records<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/02\/WHC-authorization-to-disclose-health-info.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Form<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-3 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading has-text-align-center\">While you&#8217;re waiting for an appointment<\/h3>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button aligncenter\"><a class=\"wp-block-button__link has-white-color has-text-color has-background wp-element-button\" href=\"https:\/\/drpattypowers.com\/wp-content\/uploads\/2023\/11\/While-youre-waiting.pdf\" style=\"border-radius:0px;background-color:#076cb4\" target=\"_blank\" rel=\"noreferrer noopener\">Download Document<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>New Patient Questionnaire New Patient Legal Documents Short form for Covid Issues Your Insurance Company &amp; OON Providers WHC Authorization to Request Medical Records WHC Authorization to Disclose Medical Records<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/pages\/177"}],"collection":[{"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/comments?post=177"}],"version-history":[{"count":8,"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/pages\/177\/revisions"}],"predecessor-version":[{"id":596,"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/pages\/177\/revisions\/596"}],"wp:attachment":[{"href":"https:\/\/drpattypowers.com\/wp-json\/wp\/v2\/media?parent=177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}