COMMUNITY RESOURCES SHEET

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NEW PATIENT REGISTRATION PACKETS

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PATIENT HANDBOOK

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MEDICAL RECORD RELEASE / OBTAIN FORMS

Release

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Obtain

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SLIDING FEE DISCOUNT PROGRAM

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SLIDING FEE DISCOUNT PROGRAM ELIGIBILTY FORM

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PERMISSION TO DISCUSS

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HEALTH INFORMATION EXCHANGE FORMS

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PATIENT RIGHTS AND RESPONSIBILITIES

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NOTICE OF PRIVACY PRACTICES

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YOUR PROTECTION AGAINST SURPRISE BILLING

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LIVING WILL

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RI DURABLE POWER OF ATTORNEY

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For More Information on Advance Directives, Living Wills, MOLST Forms & More

Visit the RI Department of Health website