Rochester Individual Practice Association, Inc.
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August 21, 2008


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Forms Gallery

Quality Improvement Collaborative FAQ

[Posted: 8/6/2008 3:43:03 PM]

What is QI

[Posted: 8/6/2008 3:33:23 PM]

PET Scan Precertification Fax Form
Prior authorization request form, PET scans - CareCore National
[Posted: 11/5/2007 3:50:42 PM]

CCN Form for MRI/MRA, CT/CTA, Nuclear Medicine
Preauthorization Request Form - CareCore National
[Posted: 11/5/2007 3:48:47 PM]

Well Child Care
Rochester Community Practice Guidelines
[Posted: 7/3/2007 9:31:37 AM]

Thyroid Disease
Rochester Community Practice Guidelines
[Posted: 7/3/2007 9:30:15 AM]

Pain Management
Rochester Community Practice Guidelines
[Posted: 7/3/2007 9:29:27 AM]

Management of Asthma in Adults and Children
Rochester Community Practice Guidelines
[Posted: 7/3/2007 9:27:36 AM]

Adult Preventive Care
Rochester Community Practice Guidelines
[Posted: 7/3/2007 9:25:14 AM]

Information For Patients With Diabetes
Rochester Community Practice Guidelines
[Posted: 5/10/2007 1:35:24 PM]

Eye Examination Report for Diabetes
New York Diabetes Coalition
[Posted: 5/10/2007 1:34:08 PM]

Diabetes - Standards of Care
Rochester Community Practice Guidelines
[Posted: 5/10/2007 1:32:36 PM]

Mental Health Provider Template
A form for facilitating communication between primary care physicians and mental health practitioners.
[Posted: 9/1/2005 9:53:38 AM]

PHQ 9
Patient Health Questionnaire for depression screening.
[Posted: 1/26/2005 11:15:22 AM]

Osteoporosis Screening Registration Form
Please print and fax or mail this form as noted on the registration form.
[Posted: 11/18/2003 2:18:34 PM]

Refusal to Vaccinate Form
Go to Refusal to Vaccinate Form
[Posted: 10/21/2003 3:05:13 PM]

Patient Handout for Otitis Media
Prints to Adobe Acrobat.
[Posted: 10/21/2003 1:32:49 PM]

Patient Handout for Sinusitis (English).
Prints to Acrobat Adobe.
[Posted: 10/6/2003 8:02:42 AM]

Patient Handout for Sinusitis (Spanish).
Prints to Acrobat Adobe.
[Posted: 10/6/2003 8:02:03 AM]



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