Steven R. Young, M.D., P.C.
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New Patient Paperwork

Print out the following forms to fill out ahead of your appointment and bring them with you along with your insurance card and copayment. This will save you time during your appointment.

Patient Information Form

patient_information_form.pdf
File Size: 70 kb
File Type: pdf
Download File

Medical History Form

medical_update_form.pdf
File Size: 6 kb
File Type: pdf
Download File

HIPPA FORM

notice_of_privacy_practices_sept._2013.pdf
File Size: 118 kb
File Type: pdf
Download File

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