FORMS

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICE
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OPIATE MANAGEMENT REGISTRATION PACKET
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MEDICAL RECORDS REQUEST FORM
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RELEASE OF INFORMATION AUTHORIZATION
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PATIENT REGISTRATION FORM. ENGLISH
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THE GIFT OF LIFE IS HEALTH. WITHOUT GOOD HEALTH IT'S IMPOSSIBLE TO LIVE A LONG AND FULFILLING LIFE.  THIS IS A GIFT THAT GOD GAVE US. WE AT SERENITE MEDICAL & SPA CAN HELP YOU ACHIEVE YOUR GOALS IN LIFE. WE MAKE IT OUR DUTY TO IMPROVE YOUR LIFE WITH OUR MEDICAL PROCEDURES, WEIGHT-LOSS PROGRAMS AND SPA SERVICES. SO MAKE THE RIGHT DECISION TODAY AND GIVE YOURSELF THE BEST GIFT! 

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© SERENITE MEDSPA 2016 
ALL RIGHTS RESERVED

SERENITE MEDICAL SPA

DUMFRIES, VA 22056