Carol Adams, M.D., P.C.

General Surgery

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PATIENT FORMS


Here you will find our Patient Forms we require for all our patients. If you choose, you may download the forms, fill them out at your convenience, and bring them with you to our office. Due to the size of the files, we recommend using a broadband connection such as a DSL line or Cable. Download times for dial-up may take up to 15-30 minutes. If you have any questions, please contact us at questions@caroladamsmd.com


To view, download, and print the patient forms, you must have access to Adobe Reader. You may download a free copy of Adobe Reader by clicking below.




                   

Document
Patient Registration Form, Page 1
Document
Patient Registration Form, Page 2
Document
Privacy Notice Acknowledgement


        


Document
Notice of Health Information Practices, Page 1
Document
Notice of Health Information Practices, Page 2



      


©
Carol Adams, M.D., P.C.
©Quality Surgical Care Close To Home
©Quality Medical Care Close To Home
2006-2010 All Rights Reserved.
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Proud Member of Walker County Chamber of Commerce
3400 U.S. Highway 78 East, Medical Arts Tower, Ste 504, Jasper, AL 35501 / 205.221.7099 (Phone) / 205.221.9350 (Fax)

Legal Disclaimer:
The information on the Carol Adams, M.D., P.C. web pages is provided for informational and educational purposes only. The information is not medical advice and should not be taken as medical advice, should not be used to diagnose or treat a health problem or disease, and is in no way meant to be a substitute for professional medical care. You should consult a qualified health care provider or schedule an appointment if you have a question about your particular medical condition or suspect you have a health condition or serious medical problem.