Harvey S. Mishner MD
In order to save time during your office visit, you may download these documents, fill them out and sign page 3 of the HPPA ‘Notice of Privacy Practices’ which confirms that you have received the notice.
(three pages, please sign last page signifying that your received this information)
We welcome you to our Patient Registration page. Here you will find all the necessary forms required for you to register with Nurse Practitioner, Jeanna Hepher, ARNP. By downloading and completing the forms in advance of your visit, time will be saved when we meet with you. Click on the form/s that is appropriate to you, print and complete and bring with you to the practice.
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Kaizen Total Wellness • 11505 Palmbrush Trail Suite 220 • Lakewood Ranch, FL 34202 • 941.556.7788
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