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NEW PATIENT PRE-REGISTRATION
You can reduce your check-in time by downloading the Kearney Clinic Patient Information form*. Please fill out the form as completely as necessary and bring it with you to the Kearney Clinic. Please DO NOT SIGN the form until
it can be witnessed by a Kearney Clinic employee.

Upon your arrival at Kearney Clinic, P.C. you will be asked to verify your registration information, a copy of your insurance card will be made, and you will be asked to sign required authorization forms.

The New Patient Information form is not an appointment schedule. If you wish to submit a request for an appointment, you may do so on the Appointment page.
   
  * The Patient Information form is in PDF format and requires the Adobe Acrobat Reader to view. If you do not have this free software or have an older version, please download and install it now.
 
 
   
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