OCCUPATIONAL
MEDICINE
OCCUPATIONAL
MEDICINE
OCCUPATIONAL
MEDICINE
OCCUPATIONAL
MEDICINE
OCCUPATIONAL
MEDICINE
OCCUPATIONAL
MEDICINE
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    541-677-7200

    These policies and forms are provided for your convenience:

    AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

    NOTICE OF PRIVACY PRACTICES

    NON-DISCRIMINATION POLICY

    AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION - SPANISH

    School Based Telehealth Consent Form

    School Based Telehealth Consent Form.doc
    Templates PDF.pdf

    AVISO DE PRÁCTICAS DE PRIVACIDAD

    CENTENNIAL_MEDICAL_GROUP_EAST_Spanish.docx
    CENTENNIAL_MEDICAL_GROUP_EAST_Spanish.docx

    Políza de no Discriminación

    Políza_de_no_Discriminación_12_28_2017.docx
    Políza_de_no_Discriminación_12_28_2017.docx

    SLIDING FEE APPLICATION ENGLISH

    CONSENT TO TREAT AND FINANCIAL POLICY 

    Consent to Treat and Financial Policy.docx
    Políza_de_no_Discriminación_12_28_2017.docx

    Solicitud para el Programa de Descuento

    SLIDING FEE POLICY

    EFM and WH Sliding Fee Policy2020.docx
    EFM Sliding Fee Policy2.pdf

    Women's Health SLIDING FEE APPLICATION ENGLISH

    Application_English.docx
    EFM Sliding Fee Application English.pdf
    Application_Spanish.docx
    Templates PDF.pdf
    WH Application_English.docx
    Templates PDF.pdf
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