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Thank for your interest and decision to pursue
treatment for better health. The first thing that Dr. Farber needs
is for you to fill out some forms and send them back to us. You
will do this via email by following the instructions below.
We suggest that you first create a folder on your desktop
called Dr. Farber and then return to this page.
- Right-click on each of the forms below and select Save Target As .... It will already have a file name so all you have
to do is navigate to your new folder and click save.
- Do this for each of the forms.
- Fill out each of the forms, using your tab key to
move through the form and save them back to your folder.
Welcome Letter (read this for instruction for becoming a new patient)
Letter
of Introduction (for your records - does not need to
be returned)
Office
Hours (for your records - does not
need to be returned)
Adult Medical Questionaire - Part 1
Adult Medical Questionaire - Part 2
Braverman Assessment
Family History - Part 1
Family History - Part 2
Confidential
Patient Information
Consent
for Chiropractic
Nutritional
Informed Consent
Office
Financial Policy
Insurance Verification
Insurance Assignment Agreement
Once this is done, click here
and you will be taken to a web site where you can attach the forms
and send them to Dr. Farber.
- The To: field will be lance@lancefarber.com
- The From: field will be your email address.
- You can enter some comments in the text box if
you wish.
- Then click on Attachments and you will be taken
to a page where you can browse to your folder and select each
of the forms.
- After all of them have been selected, click Attach
and you will be returned to the previous form (This process may
take a few minutes, so please be patient).
- Once the transfer is complete, click send and you're
done
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