Providers

R. Jeff Goodell D.O. FAOCO

Lara Smith, AuD, CCC-A
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  • About Us
  • Contact Us
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    • Home
    • Services
    • About Us
    • Contact Us
    • Online Payments
    • Office Forms
    • .
Providers

R. Jeff Goodell D.O. FAOCO

Lara Smith, AuD, CCC-A
  • Home
  • Services
  • About Us
  • Contact Us
  • Online Payments
  • Office Forms
  • .

Patient Forms & Office Policies

Before your appointment with us, quickly and conveniently access patient forms from our practice. To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit. Our office policies and billing information is listed below the patient forms

Downloads

Adult (over age 16) (pdf)Download
Child (below age 16) (pdf)Download
Frequently asked billing questions (pdf)Download
Discimination Policy (pdf)Download
Privacy Practices Policy (pdf)Download
No Surprises Act (pdf)Download

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