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Patient Forms![]() Kantor Orthopedics Provides A Number Of Downloadable Patient Forms For Your Convenience. Click on the form you need:
New Patient, Insurance & Pain Diagram Form Acknowledgement Of Receipt Of Notice Of Privacy Practices Form Patient Statement of Financial Responsibility Form Work-Related Problem/Injury Form Print it, fill it out and bring it with you on your first visit to our offices!
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Copyright ©2009 Kantor Orthopedics • Jeffrey A. Kantor, MD
24355 Lyons Ave • Suite 240 •
Santa Clarita, CA 91321 • (661) 259-2110
1629 West Avenue J • Suite 101 • Lancaster, CA 93534 • (661) 945-4900
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