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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


  New Patient Forms

Use the following link to securely submit multiple New Patient forms. This process consists of five forms. Upon submittal of each form, you will be directed to the subsequent form until the entire process is complete, at which time your information submittal will be confirmed. Please complete all forms in this process.

New Patient Forms


Use the links below to download, print and fill out all other necessary 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