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Patient Instructions
  • Download each form.
  • Complete forms.
  • Return them all to RGM via: 
  1. Fax at (702) 938-5844; or
  2. Scan and email to: droyal@royalmedicalclinic.com

 

Patient Forms

 TitleOwnerCategoryModified DateSize 
Patient ConsentSuperUser Account 1/24/2011132.90 KBDownload
Patient HistorySuperUser Account 1/23/2011UnknownDownload
Patient Information SuperUser Account 2/9/2011122.40 KBDownload
Medicare AgreementSuperUser Account 1/21/2011124.71 KBDownload
LFVN AgreementSuperUser Account 2/9/2011UnknownDownload
LFVN InstructionsSuperUser Account 2/9/2011UnknownDownload
Medical Releaase to RMGSuperUser Account 1/26/2011123.06 KBDownload