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Office Policies and Procedures
On your intake forms you will be asked to verify that you have received information on privacy practices (HIPAA). Please click here to read about the office privacy practices.
On your intake forms you will be asked to verify that you have received information on privacy practices (HIPAA). Please click here to read about the office privacy practices.
Patient
Information Form-Adults
Page 1 • Page
2 • Page 3
Patient
Information Form-Children
Page 1 • Page
2 • Page 3
To view these documents, you will need Adobe's free Acrobat Reader. You can download it here.
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Copyright 2004 • Janet Levatin, MD
1101 Beacon Street, 5 East
Brookline, MA 02446
Phone: 617-738-4600
Email: jlevatin@massmed.org
Site by Moon Phase Design Works • Photos of Dr. Levatin by Dolgin Fine Images
Testimonials | Forms | Links
Copyright 2004 • Janet Levatin, MD
1101 Beacon Street, 5 East
Brookline, MA 02446
Phone: 617-738-4600
Email: jlevatin@massmed.org
Site by Moon Phase Design Works • Photos of Dr. Levatin by Dolgin Fine Images
