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Patient Registration Forms

 

To best prepare for your first visit with us, the Patient Registration Forms

must be completed and signed prior to the visit with the Healthcare Provider.

The Patient Registration Forms are sent to the email you provided.

(NOTE:  our email may be sent to your SPAM folder,

so be sure to check for our email named "Fill out your patient forms online" sent from

"Healthy Wings Family and Psychia <noreply@tebra.com>".)

Patient Registration Form may be completed on a computer, laptop, tablet, or by cellphone. 

BE SURE TO CLICK "SUBMIT" WHEN FINISHED.

Each part of the Patient Registration Forms below are a fill-in pdf document that requires

Adobe Acrobat Reader to complete - click here

(we are not responsible for the download)

Please thoroughly complete each form.

Be sure to save the completed forms to your computer.

You may email the documents to us at:  MedicalRecords@HealthyWingsLLC.com

or print the documents and bring them with you to your appointment.

We look forward to serving your healthcare needs.

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