Randy Long MD
New Patient Forms
Please download and complete each of these forms in the comfort of your own home and bring to your first visit. Two of the forms are only necessary to complete if we are treating you for chronic pain.
- RLMD General Consent To Treat
- RLMD HIPAA
- RLMD Records Request Form
- RLMD Patient Medical Intake
- RLMD Pain Intake
- RLMD Pain Treatment Agreement
Only necessary for Chronic Pain patients:
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