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[Hi](siknNNBm-7hQLiQLDQUimkLineOLmBLkqOmL0fsoJTCo3wIhEmO0iAKBt1h3KCm_nOpip2e2moJTCMGnGmsD2ON) siknNNBm-7hQLiQLDQUimkLineOLmBLkqOmL0fsoJTCo3wIhEmO0iAKBt1h3KCm_nOpip2e2moJTCMGnGmsD2ON We are really happy to have you here. Dear New Patient, Welcome to your University of Louisville Physicians Family practice! We are offering patient-centered medical care and are enthusiastic about our relationships with our patients. In order to better serve your needs, we are enclosing several forms and ask that you completely fill each form out. The first sheet will help us learn more about you; please completely fill out this form about your family history. The next sheet is titled, for the use and/or Disclosure of Protected Health , and you will need to completely fill that out for our doctors to treat you to the best of their ability; it gives us permission to review your medical records from your previous primary medical facilities. Following, please completely fill out the Registration, Social Services & Consent Form. Next, you will find our Privacy Notice, followed by an acknowledgement that you have received and understand our Privacy Policies. Finally, the last form is the Office Acknowledgements and Policies form. Please read carefully and sign your name at the bottom of the letter. Please make sure to bring all of these forms with you to your first office visit. Do not mail them back to the office. Also, please remember to always bring your picture ID, current insurance cards and your co-payment. If your health insurance requires you to select a primary care doctor please do so prior to your office visit. Please bring in any and all medication you take, in their original bottles, to your appointment. If the patient is under 18 years of age he or she must be accompanied by an adult and will need to bring a copy of their current immunization certificate. Please arrive 15 minutes ahead of your scheduled appointment time so that if you have questions about these forms or we need more information, we can address it all prior to your appointment. We look forward to seeing you! Verify If you did not register for a account or feel you received this email in error, please contact Utility Service at (4968) Monday – Sunday from 7 a.m. – 10 p.m. or us. We respect your privacy and will not divulge your personal information to any third parties. Do not reply to this message. This return email address is not valid and you will not receive a response. Thanks for reaching out. We will contact you shortly. Confirm your email address Please click the button below to confirm your email address Thank you for registering. Click here to activate your account. Confirm your email address. 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