Dr. Connie Le, MD

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REGISTRATION FORMS
 
Please fill out these forms prior to your first visit to expedite your care. Thank you.
 
NEW PATIENT REGISTRATION, Please right click and click save target as:
 
PAST MEDICAL HISTORY AND MEDICATION LIST FORM, Please right click and save target as:
 
NOTICE OF PRIVACY PRACTICES ACKNOWLEDGMENT FORM, Please right click and click save target as: http://mcvfm.tripod.com/sitebuildercontent/sitebuilderfiles/noticeofprivacypracticesacknowledgment2.doc
 
SIGN IN SLIP, Please right click and click save target as:
 
ESTABLISHED PATIENT UPDATE FORM, Please right click and click save target as: http://mcvfm.tripod.com/sitebuildercontent/sitebuilderfiles/clestablishpatientupdateregistration.doc