TABLE OF CONTENTS CLINICAL FORMS Exam and Record Forms.......................................28 YOUR PRACTICE NAME 135 Duryea Rd. Melville, NY 11747 (631) 390-8000 HIPAA Forms...........................................................30 See page 32 Prescription Forms ................................................29 Clinical Forms Sign-In Sheets ........................................................31 Appointment Cards ................................................32 See page 28 See page 30 See page 31 Imprinted Materials: 1-800-414-0940 8am–5pm (et) Medical: 1-800-772-4346 8am–9pm (et) 27http://www.henryschein.com/medical