Blue Ridge Women's Health Center, P.L.C.  
     
     

PATIENT REGISTRATION MATERIALS:

Print out, complete, & return the following forms to our Center AT LEAST 2 DAYS PRIOR TO YOUR APPOINTMENT:

SEE NOTICE OF PRIVACY PRACTICES BELOW

DUE TO THE INCREASED TIME INVOLVED IN CREATING/UPDATING YOUR ELECTRONIC MEDICAL RECORD, FAILURE TO RETURN FORMS AT LEAST 2 DAYS PRIOR TO YOUR APPOINTMENT MAY RESULT IN THE NEED TO RESCHEDULE YOUR APPOINTMENT!

Forms may be hand-delivered or mailed to:

1885 Port Republic Road Harrisonburg, VA 22801

E-mail (unsecure, not recommended for any sensitive medical or personal identification information): br6613@ntelos.net



 


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