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To Print These
Instructions, Click Here...
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1. The following download options are for
Windows ME, 98 & 95 only. If you not have one of these, click
here for Windows XP or 2000 or click here
for Windows Vista |
|
2. The Patient Registration Forms work
best in a recent version of Adobe Acrobat Reader. To download a
free copy, click on the icon below... |
 |
|
Note: Some systems will
have both a folder and a file loaded onto their desktop. The
folder contains the necessary files. |
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3. Once you have downloaded the
appropriate file below, you may either fill the registration forms out
on your computer screen and then print them out |
|
or |
| Print out
the registration forms and fill them out with pen and pencil. |
|
4. Select an
appropriate download shown below. When the download box comes up, click on
the "Run" or "Open" option (not the "Save" option). In the final box, click on the "Finish" button. |
| Option #1 |
| Adults
(Patients 19 and over) - Not due to
Accident or Injury |
|
Note: This will place a
folder entitled "COC Adult Forms-no-ac" on your computer desktop. |
 |
| Option #2 |
| Adults
(Patients 19 and over) - Due
to Accident or Injury |
|
Note: This will place a
folder entitled "COC Adult Forms-ac" on your computer desktop. |
|
|
| Option #3 |
| Minor
(Patients 18 and under) - Not due to
Accident or Injury |
|
Note: This will place a
folder entitled "COC Minor Forms-no-ac" on your computer desktop. |
|
|
| Option #4 |
| Minor
(Patients 18 and under) - Due to Accident or Injury |
|
Note: This will place a
folder entitled "COC Minor Forms-ac" on your computer desktop. |
|
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Columbus Otolaryngology Clinic
Nila
M. Novotny, M.D.
4508
38th St., Suite #152
Columbus, NE 68601-1668
402-563-4500 FAX: 402-563-3520
After
Hours/Emergency 402-562-3179
To Contact Us, Click Here...
 
 
 by McGee Designs,
1999-2010
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