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Please print and complete the forms below to expedite the check-in process.
All patients that do not have completed forms are asked to come 30 minutes prior to their appointment time to ensure there is enough time to complete everything.


Please be sure to bring your driver's license or government ID card as well as your insurance card to your appointment.

Filling Out Form

FORMS

The following document is the HIPAA Notice of Privacy Practices

© 2019 by Dr. Scott Samona

Samona Hand Surgery

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