Donovan Wong, MD

Board Certified in Psychiatry

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Forms

INITIAL VISIT- Please fax these to Dr. Wong, at (424) 999-0341, prior to your first appointment.

REGISTRATION

HIPAA NOTICE OF PRIVACY PRACTICES

CONSENT TO TREATMENT

CONSENT TO TELEMEDICINE TREATMENT

CONSENT TO VIDEO RECORD

OPTIONAL- Please fax these forms to Dr. Wong, at (888) 612-2969, as needed.

HEALTH INFORMATION RELEASE

REQUEST TO RESTRICT INSURANCE DISCLOSURE

Donovan Wong, MD

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