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1230 E 6th Ave, Suite 1B, Winfield, KS
PATIENT FORMS
Please Note:
Bluestem Family Health closed on October 18, 2019.
After October 18, 2019, your records will be available for ten years by contacting Cloud 9 Medical Solutions through their website: https://www.cloud9medicalsolutions.com
The following form is in printable format. In order to open the form, you will need to have the Adobe Acrobat Reader plugin. Most computers are configured with this plugin, but if yours is not, you can get the free plugin at Adobe.
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