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Hansen Family Practice

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Forms

Please download and fill out these forms before your first appointment. 

Adult History Form
Patient Care Agreement
Patient Urgent Care Agreement
Appendix 1
Contact Release
Patient Portal Authorization
Release of Medical Records

  • Home
  • About Us
  • Our Mission
  • Online Scheduling
  • Our Prices
  • Forms
  • Resources
  • Prescription Assistance
  • Nurse Practitioner Role
  • FAQ

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