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Forms and Documents
MIMA HIPAA Form
MIMA General Authorization Form
FHSAA Consent and Liability Form 2009
FHSAA Physicial Examination Form 2009
<<<< ATTENTION: High School Athletes use this form.
High School Press Release
<<<< ATTENTION: Click link for High School physicals schedules.
Patient History Questionnaire for an Established Patient with a New Problem
Patient History Standard Questionnaire for Patient
MIMA Patient Registration Form
Student Insurance Plan Application