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Meriter Medical Clinics
Forms for New Patients
Medical Records Form - General FormTo receive care at a Meriter Medical Clinic, please fill in our Release of Medical Information form:
Medical Records Form - For Current Patients of Dr. Casper
If you were a patient of Dr. Casper at UW Health and wish to continue seeing
him at Meriter Medical Clinic-McKee, please fill in this version of our Release
of Medical Information form:
New Patient Registration Forms
As a new patient you should also fill out the following form:
These forms should be sent to us before your appointment. These forms are Adobe Reader files. To open a file, you need to have Adobe Acrobat Reader (a free plug-in). Download Adobe Acrobat Reader Now For Free!
Notice of Privacy Practices
As a new patient, you may be interested in Meriter's privacy practices.
Meriter's Notice of Privacy Practices
describes how medical information of patients may be used and disclosed, and how
you can get access to this information.
4/28/2008
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