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6038 W. Nordling Loop
Crystal River, Fl 34429

Phone (352) 563 5070
Fax (352) 795 4322

Office Hours
Monday to Friday
8 a.m. to 6 p.m.

Lab Hours
7:30 a.m.- 8:30 a.m.

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Clinic Patients

  • Adult New Patient
  • New Patient Registration
  • Disclosure of Information
  • HIPPA
  • HIPPA Receipt Form
  • Psychotherapuetic Medication

Documents

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Adult Release Authorization Adult Release Authorization

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Date added: 03/25/2011
Date modified: 03/25/2011
Filesize: 204.81 kB
Downloads: 188

Adult Payment Treatment Authorization Adult Payment Treatment Authorization

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Date added: 03/25/2011
Date modified: 03/25/2011
Filesize: 122.52 kB
Downloads: 150

Adult Payment Policy Adult Payment Policy

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Date added: 03/25/2011
Date modified: 03/25/2011
Filesize: 133.02 kB
Downloads: 142

Adult Patient Request Form Adult Patient Request Form

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Date added: 03/25/2011
Date modified: 03/25/2011
Filesize: 203.57 kB
Downloads: 162

Adult New Patient Pack Adult New Patient Pack

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Date added: 03/25/2011
Date modified: 03/25/2011
Filesize: 1.03 MB
Downloads: 320
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Adult Clinic Forms
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Copyright 2012 IM&P Wellness Center.

IMP Wellness Center, Citrus County, Carlene Wilson, MD, specializing in, weight loss, obesity, lose weight, pediatrics,  primary, doctor, womens health, doctors office, citrus county doctor, citrus county physician,  diet doctor, botox, skin care, microdermabrasion, Juvederm,  Meadowcrest, medical weight loss, spider vein removal, laser hair removal, dermal fillers, laser diet, skin rejuvenation, limelight facials, Citrus County diet, Citrus County Botox, Beverly Hills, Citrus Hills, Pine Ridge, Sugarmill Woods, Lecanto, Crystal River, Inverness, Homosassa, Florida

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