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New Patient Paperwork

New Friends Are Always Welcome At Sea Base Medicine

To save time when visiting our office. Please complete our new patient paperwork before your scheduled appointment.

Rocky Coastline

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Our patient forms can be downloaded to your computer, completed, and  submitted to our office in one of the following ways:

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  • Upload completed paperwork using the submit form below.

  • Email your completed paperwork to our office (info@SeaBaseMedicine.com).

  • Print and mail your completed paperwork to our office mailing address.

  • Print your completed paperwork and bring it with you to your first office appointment.

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Please be prepared to provide this new patient information to our office along with your current medical insurance information. You can submit your insurance information online here.

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If you have any questions when filling out these forms, please do the best you can and our staff will assist you on the day of your office visit.

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Thank you for choosing Sea Base Medicine for your primary care needs! 

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Our website contains general medical information. The medical information is not advice and should not be treated as such. The medical information on our website is provided without any representations or warranties, express or implied. You must not rely on the information on our website as an alternative to medical advice from your doctor or other professional healthcare provider. If you have any specific questions about any medical matter, you should consult your doctor or other professional healthcare provider. If you think you may be suffering from any medical condition, you should seek immediate medical attention. You should never delay seeking medical advice, disregard medical advice or discontinue medical treatment because of information on our website.
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