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Bonita Krempel-Portier, D.O.

Bonita Krempel-Portier, D.O.

Working Together Towards Health

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Bonita Krempel-Portier, D.O.
Bonita Krempel-Portier, D.O.
Working Together Towards Health

Welcome to the Patient Forms & Documents section for EOPCC

To help make your visit as efficient as possible, many commonly requested forms and office documents are available for download below. Patients may complete applicable forms prior to their appointment and bring them to the office, or submit them as instructed by our staff.

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HIPAA Notice of Privacy Practices
Family & Caregiver Consent
HIPAA Acknowledgement
Assignment of Benefits
Medical Records Request

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  • Home
  • About Us
    • Dr. Bonita Portier
    • Board Of Directors
    • Founding Volunteers & Community Supporters
    • Medical Education & Training
    • Mission & Core Values
  • Services
  • Patient Resources
    • Patient Portal
    • Forms & Policies
    • Insurance & Billing
    • Medical Records Requests
    • PRP Injections
    • Contact Us
  • Support Our Mission
    • Ways to Give
    • Community Support
    • Building Preservation