719-545-2746

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Signature Forms Bundle

Signature Forms Bundle

Links to Individual Forms

Client Rights

Medical History Questionnaire

Health Solutions Consolidated Financial Agreement

Appointment Reminder Authorization

Authorization to Send, Receive and/or Exchange Healthcare Information

Health Solutions Consents and Agreements

DORA Disclosure Statement

Service Plan Signature Page

41 Montebello Road

Pueblo, CO 81001

719-545-2746

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