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Balfour Dermatology

Robert E. Beer M.D.

2221 Balfour Road, Suite A

Brentwood, Ca 94513

(925) 240-9116


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NEW AND EXISTING PATIENT

IN-OFFICE ANNUAL UPDATE FORM

In-Office Annual Update Forms

(HIPAA, Telehealth Consent, Credit Card auth)

New and Existing Patient Forms

(All Forms)

TELEMEDICINE ANNUAL UPDATE FORM

Telemedicine Annual Update Forms

(HIPAA, Telemedicine, Credit Card, Insurance)

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