FORMS | Balance Medical Care

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201-897-3099

444 Market St. Suite #2B

Saddle Brook, NJ 07663

444 Market St. Suit #2B

Saddle Brook, NJ 07663

444 Market St. Suit #2B

Saddle Brook, NJ 07663

OUR SERVICES

Mandatory Forms - All Patients:

1. New Patient Intake Form

2. New Payment Policy

3. Record Release Authorization Form

4. HIPAA Notice of Privacy Practices

Hair and Skin Forms:

1. Medications To Avoid 5 Days Prior To Some Procedures

2. Platelet Rich Plasma Treatments Record

Mental Health Screens:

1. Anxiety Screen

2. Depression Screen

3. ADHD Screening

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