NorthEast Pediatric Therapy
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Patient Forms

Following are some common printable forms that you can download and print for your convenience. Most items are in Adobe PDF format. If you do not have the Adobe Acrobat Reader software, click the link at the bottom of the page to download it for free.

Form Name Type
Acknowledgement Form (HIPAA) pdf icon
Authorization of Release of Health Information pdf icon
Consent Form - English pdf icon
Consent Form - en Español pdf icon
Notice of Privacy Practices - English pdf icon
Notice of Privacy Practices - en Español pdf icon

Our forms are provided in Adobe PDF format. You will need the Adobe Acrobat Reader to view the forms. Clicking the link below will launch a new window where you can download a free copy of the software.

Get Adobe Acrobat reader

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