Policies & Forms
Every organization has to have policies – and Evergreen is no exception. The policies (see links below)
provided on this page include our Privacy Practice Notification and Patient
The Privacy Practice Notification details
the handling of your PHI (Patient
Health Information). The Patient Enrollment Packet must
be completed, submitted and approved to become a patient at Evergreen Family Medicine. Once your Patient Enrollment Packet has
been processed, you will receive a Patient Registration form that
must be completed and returned.
Our newest policy relates to Durable Medical Equipment (DME).
We have implemented this policy to try to protect our patients. It is important that you read this new policy! If
you are not familiar with DME, visit www.Medicare.gov to
These Policies and Forms are provided for your convenience.
Privacy Practice Notification
Durable Medical Equipment Policy (DME)