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Agreement to
Terms
of Telephone Consultations
All
Patients Must Sign Agreement Before Consultation.
As of October 13, 2003, the federal government imposed HIPAA regulations
on all health care practitioners in the USA. Under the influence of
these regulations, we must have patients formally agree to the
conditions for consultations with Dr. Lowe. Thanks for your cooperation with this requirement.
Before your first
consultation, please provide us with the signed copy of the "Agreement Form." The
signed copy of the Form verifies that you understand and agree to the terms of telephone consultations
with Dr. Lowe. Below are
four options for printing the Agreement form:
pdf file
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WordPerfect
file |
Word
file |
Printable internet file
Please print the form, fill
it out, sign it, and then either scan and email it to
Tammy@drlowe.com
or fax it to
303-496-6200.
Dr. Lowe's Bio:
Please read before your consultation. Thanks
for your cooperation.
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