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Paul D. Wade, M.D.
Mitchell L. Huebner, M.D.
David P. Hominick, M.D.
Rachel L. Dunagin, M.D.
James R. Ampil, M.D.
Dietician Services
Executive Physicals
Office Policies
Procedure Instructions
Patient Forms


  Forms

Use the following links to securely submit each online form.

New Patient Forms (all)

Patient Information

Consent For Treatment

Change of Address/Insurance

Authorization to Disclose Information

Authorization to Release Information

Medical History


Use the links below to download, print and fill out all other forms.
Please return these forms to our office.

Medical Power of Attorney

DNR Order

Directive to Physicians and Family or Surrogates

Informed Consent for Stress Test