Forms & Information
Initial paper work and consents: Please download and fill out the below PDF and and bring to your initial visit. This PDF contains new patient information and consents and also forms explaining in more detail Dr. Cantwell’s payment, cancellation, insurance, and Medicare-patient policies. It also contains parking information and directions to the clinic.
Letter Requests: To request correspondence and letters please download and fill out the Letter Request Form PDF below and submit to Cameron. We reserve the right to bill for such requests based on the physician or medical staff time involved.
Medical Records Requests: To request copies of your medical records or to have copies sent to another practitioner please download and fill out the Medical Records Request Form PDF below and submit to Cameron. We reserve the right to bill for such requests based on the physician or medical staff time involved.
Consult Request: To request a consult between Dr. Cantwell and another health care professional please download and fill out the Consult Request Form (PDF below) and submit to Cameron. We reserve the right to bill for such requests based on the physician or medical staff time involved.
