ELYSE RUBENSTEIN, M.D., F.A.C.R.

A PROFESSIONAL CORPORATION


Committed to the Diagnosis and Treatment of Arthritis

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Forms

New patient forms:

    • New Patient Packet

Individual forms:

    • New Patient Intake Form
    • Authorization to Release Information Form
    • Patient Consent Form
    • Release of Medical Records Authorization Form
    • Confidentiality of Patient Medical Records
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