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  • Infectious Disease
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  • Patient Forms
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Patient Forms

Download our interactive PDF forms and submit them online. You can download Adobe Reader (a free program) to view these PDFs if needed.

  • Brief History
  • ETIDC Financial Policy
  • Form for Granting Access/Restriction to Private Health Information (PHI)
  • New Patient Referral Form
  • Patient Authorization
  • Privacy Practices Acknowledgement
  • Request for Release of Medical Records
  • Travel Medicine Clinic Form

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