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      • Chris Johnson, MD
      • Daniel Stein, MD
      • Megan Danielson, RN, CNP
      • Sadie Iverson, APRN, CNP
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Onsite Health Care for Seniors,
Peace of Mind for Families

(800) 873-0561

Forms & Links

The following forms are available for your convenience:

  • Enrollment/Registration Packet »
  • Authorization for Release of Medical Records »
  • POLST (Provider Orders for Life Sustaining Treatment) »
  • Advanced Care Planning »
  • HIPAA Notice of Privacy Practices »

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Forms

The following forms are available for your convenience:

  • Enrollment/Registration Packet
  • Authorization for Release of Medical Records
  • POLST (Provider Orders for Life Sustaining Treatment)
  • Advanced Care Planning
  • HIPAA Notice of Privacy Practices

 

More Forms »

Contact Us

The Consultative Health and Medicine team is conveniently available at:

Main number: (800) 873-0561
In a medical emergency: Dial 911
After hours/weekends: (800) 873-0561
– Answering service for urgent needs.
– Voicemail system for non-urgent needs.
Fax: (866) 404-2579
Email: info@consultativehealth.com

 

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Testimonials

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Forms

The following forms are available for your convenience:

  • Enrollment/Registration Packet
  • Authorization for Release of Medical Records
  • POLST (Provider Orders for Life Sustaining Treatment)
  • Advanced Care Planning
  • HIPAA Notice of Privacy Practices

 

More Forms »

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