Pfmindy.com

PFM 317-789-9600

WEBAn independent practice, specializing in caring for patients of all ages. We strive to provide our patients with everything they need for the maximum in comfort, accurate and …

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URL: https://pfmindy.com/index.html

PFM 317-789--9600

WEBKoshy Oommen, MD Internal Medicine Dr. Koshy Oommen is a Board-Certified Internal Medicine specialist who moved with his family from Terre Haute to join Premier Family …

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PFM 317-789--9600

WEBPremier Family & Internal Medicine is an independent medical practice, with specialists in Internal Medicine and Family Medicine. Our team of Doctors, Physician Assistants, …

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PFM 317-789-9600

WEBYou just need an internet connection. Please connect 5 minutes before your scheduled appointment time. If you have difficulties, feel free to call the office and speak with an …

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Request for Release of Protected Health Information

WEBPremier Family Medicine, LLC Request for Release of Protected Health Information You are allowed access to your protected health information, with certain exceptions.

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PFM 317-789--9600

WEBBelow you can access some of our office forms. You can print these forms fill them out and bring them to your next appointment. These forms include New Patient Registration / …

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Premier Family Medicine, LLC Patient Health Information

WEBPremier Family Medicine, LLC Patient Health Information (for doctor’s use)

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Summary of Mike Summitt, PA-C Notice of Privacy Practices …

WEBPremier Family Medicine, LLC Summary of Notice of Privacy Practices Cathy Yoder, MD Mike Summitt, PA-C Courtney Sullenberger, PA-CA federal law known as the Health

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Premier Family Medicine, LLC Financial Policy

WEBPremier Family Medicine, LLC Financial Policy We realize that the financial aspects of healthcare can be confusing, and we will do our best to help make this as easy as

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Request for Release of

WEBPremier Family Medicine, LLC Request for Release of Protected Health Information Cathy Yoder, MD Mike Summitt, PA-C Courtney Sullenberger, PA-C

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PFM 317-789-9600

WEBPremier Family Medicine complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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PFM 317-789--9600

WEBPFM | 317-789--9600 - PFM | 317-789-9600. You will find our Portal access button on the bottom of every page. This gives you quick easy access to our Patient Portal no matter …

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Premier Family Medicine, LLC Acknowledgement of Receipt

WEBPremier Family Medicine, LLC Acknowledgement of Receipt of Notice of Privacy Practices Financial Policy Lab / Test Policy Cathy Yoder, MD Mike Summitt, PA-C

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PRE-PARTICIPATION PHYSICAL EVALUATION FORM (PPE)

WEBThe IHSAA Pre-participation Physical Evaluation (PPE) is the ﬁ rst and most important step in providing for the well-being of Indiana’s high school athletes.

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Acknowledgement of Receipt

WEBPremier Family Medicine, LLC Acknowledgement of Receipt of Notice of Privacy Practices and Express Consent to Communication Patient Name:_____ DOB: _____ Last 4

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Summary of Notice of Privacy Practices

WEBPremier Family Medicine, LLC Summary of Notice of Privacy Practices A federal law known as the Health Insurance Portability and Accountability Act of 1996 ("HIPAA

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