• Home
  • About Us
    • Howard E. Feingold, MD
    • John Fox, MD
    • Annette Hils, MD
    • Marci Johns, APRN
    • Ana May, MD
    • Daniel A. Nosek, MD
    • Christina Taylor, APRN
    • Michael P. Wanger, MD
  • Services
    • Outpatient and Inpatient
    • Remote Patient Monitoring
    • Chronic Care Management
    • Prevention and Wellness
    • Diseases and Conditions
  • Contact / Location
    • Contact Us
    • Jeffords Location
    • Lakeview Location
  • Forms and Policies
    • Office Visit Forms
    • Policies and Forms
  • Patient Portal
  • Bill Pay
  • More
    • Home
    • About Us
      • Howard E. Feingold, MD
      • John Fox, MD
      • Annette Hils, MD
      • Marci Johns, APRN
      • Ana May, MD
      • Daniel A. Nosek, MD
      • Christina Taylor, APRN
      • Michael P. Wanger, MD
    • Services
      • Outpatient and Inpatient
      • Remote Patient Monitoring
      • Chronic Care Management
      • Prevention and Wellness
      • Diseases and Conditions
    • Contact / Location
      • Contact Us
      • Jeffords Location
      • Lakeview Location
    • Forms and Policies
      • Office Visit Forms
      • Policies and Forms
    • Patient Portal
    • Bill Pay
  • Home
  • About Us
    • Howard E. Feingold, MD
    • John Fox, MD
    • Annette Hils, MD
    • Marci Johns, APRN
    • Ana May, MD
    • Daniel A. Nosek, MD
    • Christina Taylor, APRN
    • Michael P. Wanger, MD
  • Services
    • Outpatient and Inpatient
    • Remote Patient Monitoring
    • Chronic Care Management
    • Prevention and Wellness
    • Diseases and Conditions
  • Contact / Location
    • Contact Us
    • Jeffords Location
    • Lakeview Location
  • Forms and Policies
    • Office Visit Forms
    • Policies and Forms
  • Patient Portal
  • Bill Pay

Office Policies and Forms

Financial Agreement Policy (PDF)Download
Controlled Substance Policy (PDF)Download
Chronic Care Management (PDF)Download
Pelvic Exam Consent (PDF)Download

Miscellaneous Forms

Handicap Parking Pass (PDF)Download
Living Will/Medical Power of Attorney (PDF)Download
Medical Records Request (Lakeview Office) (PDF)Download
Medical Record Request (Jeffords Office) (PDF)Download
Pelvic Exam Consent (PDF)Download

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