Forms

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Premiere General Medicine

Release of Medical Information

Missed Appointment Policy

Consent to Health Care

Prescription Refill and Controlled Substance Policy

Privacy Practices

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State of Illinois

State of Illinois Handicapped Placard

State of Illinois Driver Medical Report

IHSA Sports Physical

IHSA Skin Condition

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Health Diaries

Blood Pressure Log

Blood Sugar Log

Daily Weight Log

Medication Card

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Advance Directives

Information on Advance Directives

Power of Attorney for Healthcare

Living Will

Do Not Resuscitate Form (POLST Form)