{"id":201,"date":"2024-07-19T09:14:30","date_gmt":"2024-07-19T14:14:30","guid":{"rendered":"http:\/\/www.upnorthfamilymedicine.com\/?page_id=201"},"modified":"2024-10-29T06:46:15","modified_gmt":"2024-10-29T11:46:15","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.upnorthfamilymedicine.com\/?page_id=201","title":{"rendered":"Forms"},"content":{"rendered":"<p>During your first meeting with Dr. Ash, she will go over these forms with you. For your convenience, they are also provided here for you to review before your meeting.<\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Notice-of-Privacy-Practices-1.pdf\">Notice of Privacy Practices<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Acknowledgement-of-privacy-practices-1.pdf\">Acknowledgement of privacy practices<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Member-Services-Guide-1.pdf\">Member Services Guide<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Member-agreement-1.pdf\">Member agreement<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Medicare-Opt-Out-Agreement-1.pdf\">Medicare Opt-Out Agreement<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Health-History-form-1.pdf\">Health History-form<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Medical-Records-Release.pdf\">Medical Records Release<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Medical-Records-Release-Outgoing.pdf\">Medical Records Release &#8211; Outgoing<\/a><\/p>\n<p><a href=\"https:\/\/www.upnorthfamilymedicine.com\/wp-content\/uploads\/2024\/07\/Membership-Payment-Form-1.pdf\">Membership Payment Form<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During your first meeting with Dr. Ash, she will go over these forms with you. For your convenience, they are also provided here for you to review before your meeting. Notice of Privacy Practices Acknowledgement of privacy practices Member Services Guide Member agreement Medicare Opt-Out Agreement Health History-form Medical Records Release Medical Records Release &#8211; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":7,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-201","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/pages\/201","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=201"}],"version-history":[{"count":2,"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/pages\/201\/revisions"}],"predecessor-version":[{"id":321,"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/pages\/201\/revisions\/321"}],"up":[{"embeddable":true,"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=\/wp\/v2\/pages\/7"}],"wp:attachment":[{"href":"https:\/\/www.upnorthfamilymedicine.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=201"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}