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Bee Well Pediatrics
Bee Well Pediatrics
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  • Patient Resources
    • Insurance and Billing
    • New Patient Forms
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    • Home
    • Patient Resources
      • Insurance and Billing
      • New Patient Forms
    • Our Providers
    • Athena Patient Portal
  • Home
  • Patient Resources
    • Insurance and Billing
    • New Patient Forms
  • Our Providers
  • Athena Patient Portal

New Patient Paperwork

Patient Registration Forms (pdf)Download
HIPAA Notice of Privacy Practices, Acknowledgement, and Authorization Form (pdf)Download
Financial Policy and Assignment of Benefits Form (pdf)Download
Telehealth Consent (pdf)Download
Confidential Communication Fillable Form 2024 (pdf)Download
Release Form 2024 (pdf)Download
Self-Pay Fillable Form 2024 (pdf)Download

Copyright © 2025 Bee Well Pediatrics - All Rights Reserved.

  • Insurance and Billing
  • New Patient Forms
  • Our Providers
  • Athena Patient Portal

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