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Established Patient Form

If you are an established patient of Advanced Care in Endocrinology & Diabetes, please complete the attached Established Patient Form prior to your appointment.  Completing this form prior to your appointment will give you the opportunity to:

  • check the names and doses of the medicines you are currently taking
  • clarify with your relatives what medical conditions are common in your family
  • document all symptoms and concerns you would like to discuss during your appointment 

 Established Patient Form


Operated by Centura Health Physician Group 

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