NEW PATIENT INFORMATION FORM
Complete this form before your first appointment to provide your contact, insurance, and patient information.
Consent to Release Medical Records
Complete this form to authorize Choice Medical Group to release or obtain your medical records.
Member Authorization Form – Choice MG
For Choice Medical Group / Choice Physicians Network members who want to authorize someone to act on their behalf.
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Member Authorization Form – Horizon Valley
For Horizon Valley Medical Group / Choice Physicians Network members who want to authorize someone to act on their behalf.
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