Download the Authorization for Release of Protected Health Information (PHI) below.
Download the Authorization for Release of Protected Health Information (PHI) below with pre-filled in information for Pratt Family Practice.
Pratt Family Practice does not discriminate against any person on the basis of: race, color, religion, sex, sexual orientation, gender identity or expression, age, disability, marital status, citizenship, military status (whether active or inactive), insurance type such as Medicare, Medicaid, or CHIP, ability to pay, genetic information or any other characteristic protected by law.
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620-672-7422
Fax: 855-884-8184
203 Watson St #200, Pratt, KS 67124
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