Dunkirkfamilypractice.com

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WEBWalk-in hours (vaccines/injections only!): Monday - Friday 9:00 AM - 11:30 AM and 1:00 PM - 4:00PM. Welcome to Dunkirk Family Practice, PA, your family’s healthcare team. We are specialists in family medicine and members of your community. As a result, we treat every member of the family, from newborns to the elderly, with the same level of

Actived: 4 days ago

URL: https://dunkirkfamilypractice.com/

Amy E. McGinn, CRNP

WEBAmy E. McGinn, CRNP. Nurse Practitioner Amy McGinn is a board-certified Family Nurse Practitioner. In 2013, she graduated with honors from the University of Maryland School of Nursing with a Bachelor of Science in Nursing. She began work as a Registered Nurse at the University of Maryland Medical Center on the Cardiac Surgery Progressive Care Unit.

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Patient Paperwork

WEBPlease bring your completed paperwork, along with your insurance card and photo identification (i.e. your driver’s license) to your visit. Note that we will ask every patient for their insurance card and photo identification (i.e. driver’s license) at every visit. For New Patients: Adult Health History. Child Health History.

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Danielle Hudson, CRNP

WEBDanielle Hudson, CRNP. Board Certified Family Nurse Practitioner. BS: Stevenson University, 2005. NP: University of Maryland, 2009. Nurse Practitioner Danielle Hudson joined Dunkirk Family Practice in 2016 after spending a number of years in outpatient walk-in clinics in Maryland and at the family health clinic at Andrews Air Force Base.

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Patient Portal: Quick Reference Guide

WEBPatient Portal: Quick Guide Page 2 Portal Login: First Time The practice has provided you with a “Welcome to NextMD Letter”! Patient Portal Home Page There can be a slight delay from the time the token is provided to you by your doctor’s office and

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Health Assessment

WEB1 | P a g e Health Assessment Please complete this assessment before seeing your doctor. Your responses will help you receive the best health

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Adult Health History (Confidential)

WEB2025 Chaneyville Road, Suite 200, Owings, MD 20736 | Phone: 410-286-3865 | Fax: 410-286-8085 | www.DunkirkFamilyPractice.com Adult Health History

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Patient Health Questionnaire (PHQ-9)

WEBAdd up 3s by column. For every 3: Several days = 1 More than half the days = 2 Nearly every day = 3. Add together column scores to get a TOTAL score. Refer to the accompanying PHQ-9 Scoring Box to interpret the TOTAL score. Results may be included in patient files to assist you in setting up a treatment goal, determining degree of …

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What does this mean for me

WEBEmail: [email protected] Help Desk: 1-844-711-2664 (1-844-711-CMMI), Option 3 Dunkirk Family Practice, PA Updated: May 2017 2025 Chaneyville Road, Suite 200 Owings, MD 20736 We’re writing to let you know that Dunkirk …

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Adult Health History (Confidential)

WEBAdult Health History (Confidential) Your answers on this form will help your health care provider better understand your medical concerns and conditions.

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Wellness Visit (Physical Exam) and Office Visit

WEBEffective 11/28/2017 Adapted from Longs Peak Family Practice Wellness Visit (Physical Exam) and Office Visit Dear Patient: Our goal is to provide you, the patient, with the best medical care.

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Dunkirk Family Practice PA

WEBName: Your Health History (Medical Conditions, things you are worried about, or barriers or issues that could keep you from reaching your health goals): 1. 8. 2. 9. 3

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Notice of Health Information Practices

WEBNOTICE OF HEALTH INFORMATION PRACTICES This notice will expire in twenty (20) years. DUNKIRK FAMILY PRACTICE, P.A. has provided me with the information concerning my

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Maryland Healthy Kids Program Medical/Family History …

WEB2025 Chaneyville Road, Suite 200, Owings, MD 20736 | Phone: 410-286-3865 | Fax: 410-286-8085 | www.DunkirkFamilyPractice.com. Red Flag System Letter. We, the staff of Dunkirk Family Practice, PA are committed to awareness and vigilance regarding any possible occurrences of identity theft.

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MARYLAND ADVANCE DIRECTIVE PLANNING FOR FUTURE …

WEBm aryland a dvance d irective: . p lanning for f uture h ealth c are d ecisions. state of maryland office of the attorney general brian e. frosh attorney general february 2015

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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

WEBI hereby authorize disclosure of the health information for the above-named company. This authorization is valid for twelve (12) months from the date of signature. I understand that I may cancel this request with written notification but that it will not affect any information released prior to notification of cancellation.

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NOTICE OF HEALTH INFORMATION PRACTICES / PRIVACY …

WEBPage 2 planning and development, and business management and general administrative activities. In certain situations, we may also disclose your protected health information to another

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Dunkirk Family Practice PA

WEBDunkirk Family Practice PA 2025 Chaneyville Road, Suite 200 Owings, MD 20736 | (P) 410-286-3865 | (F) 410-286-8085 Name: _____ Date of Birth: _____

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