Abide Health Medical A Professional Corporation
Abide Health Medical A Professional Corporation
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    • Home
    • Services
    • Who We Are
    • Staff
    • Contact Us
    • Forms
  • Home
  • Services
  • Who We Are
  • Staff
  • Contact Us
  • Forms

Become a new patient!

Patients interested in receiving services can access all required intake and consent forms here. If you are interested in becoming a patient, please contact us and we will get back to you in 24 hours.

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PATIENT REGISTRATION FORMS

Patients interested in receiving services can access all required intake and consent forms here. These forms must be completed prior to your first appointment and can be downloaded or submitted electronically to abide@abidehealthmedical.com or at the time of the appointment. 

ABIDE HEALTH MEDICAL PATIENT INTAKE FORM 08-2025 (pdf)Download
Acknowledgment of No Show _ Cancellation Policy (pdf)Download
Assent for Treatment (For Minors) (pdf)Download
Confidentiality Agreement (pdf)Download
Consent for Medication (pdf)Download
Consent for Release of Information (ROI) (pdf)Download
Consent for the Use of Electronic Health Records (EHR) (pdf)Download
Consent for Treatment (pdf)Download
Emergency Contact Information Form (pdf)Download
Financial Agreement _ Payment Policy (pdf)Download
HIPAA Privacy Practices Acknowledgment (pdf)Download
Informed Consent for Telehealth Services (pdf)Download
Patient Rights and Responsibilities Form (pdf)Download
Release of Liability Agreement (pdf)Download

Abide Health Medical A Professional Corporation

6847 W Charleston Blvd Ste B, Las Vegas, NV 89117

(725) 205-1578

Copyright © 2024 Abide Health Medical A Professional Corporation - All Rights Reserved.

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