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Board Certifications:American Board of Gynecology & Obstetrics
Education/Residency:Medical School - Loyola University of Chicago, Stritch School of MedicineResidency - University of Wisconsin Hospital and Clinics
Patient Forms:New Patient PacketNew Patient Packet - Medicare Welcome to Our Practice Health Questionnaire Patient Registration Form HIPAA Protected Health Information Form Authorization to Treat Pap Smear Consent Form Bowel Control Survey Form Bladder Survey Form Release of Information Authorization - For Records Going to Dr. Schneider Release of Information Authorization - For Records Being Sent by Dr. Schneider Directions to Florida Hospital Women's Health Center
For Medicare Patients: Medicare Co-Insurance Notice Secondary Payor Questionnaire Medicare High Risk Criteria Form
Notice of Patient Privacy PracticesHealth-Care Advance DirectivesAcknowledgement of Receipt of Notice of Patient Privacy PracticesPatient Financial Responsibility Statement
335 Clyde Morris BlvdSuite 240Ormond Beach, Florida 32174
Phone: (386) 231-6172 Fax: (386) 676-6173Office Hours:
Tuesday-Friday:8:30 a.m. to 4:30 p.m.
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