{"id":3046,"date":"2025-02-04T17:39:58","date_gmt":"2025-02-04T17:39:58","guid":{"rendered":"https:\/\/signs2gonj.com\/newbrunswick\/?page_id=3046"},"modified":"2025-02-04T17:53:30","modified_gmt":"2025-02-04T17:53:30","slug":"first-visit-forms","status":"publish","type":"page","link":"https:\/\/signs2gonj.com\/newbrunswick\/first-visit-forms\/","title":{"rendered":"First Visit Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3046\" class=\"elementor elementor-3046\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5bb1528 e-flex e-con-boxed e-con e-parent\" data-id=\"5bb1528\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-233a1fb e-con-full e-flex e-con e-child\" data-id=\"233a1fb\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a8cc096 elementor-widget elementor-widget-heading\" data-id=\"a8cc096\" data-element_type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Please print, complete, and bring these forms prior to your first office visit<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d2ab295 e-con-full e-flex e-con e-child\" data-id=\"d2ab295\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a9a81d9 e-con-full e-flex e-con e-child\" data-id=\"a9a81d9\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-168418e ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"168418e\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/history_form.pdf\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Medical History Form                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50758a6 ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"50758a6\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/financial_policy.pdf\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Financial Policy                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-faf09d6 e-con-full e-flex e-con e-child\" data-id=\"faf09d6\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02d1375 ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"02d1375\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/first_visit_form.pdf\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Patient History Form                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-274962c ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"274962c\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/privacy_consent_form.pdf\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                    Privacy Consent Form                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bc210b3 e-flex e-con-boxed e-con e-parent\" data-id=\"bc210b3\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-7c027f7 e-con-full e-flex e-con e-child\" data-id=\"7c027f7\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-924754a elementor-widget elementor-widget-heading\" data-id=\"924754a\" data-element_type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;sticky_offset&quot;:100,&quot;sticky_parent&quot;:&quot;yes&quot;,&quot;sticky_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;],&quot;sticky_effects_offset&quot;:0,&quot;sticky_anchor_link_offset&quot;:0}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Record Release Form Patients:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16a8e5f e-con-full e-flex e-con e-child\" data-id=\"16a8e5f\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4089df8 e-con-full e-flex e-con e-child\" data-id=\"4089df8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e696616 ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"e696616\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/incoming_patient_release_record_form.pdf\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                     Incoming Patient Release Form                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa678ab ekit-equal-height-disable elementor-widget elementor-widget-elementskit-icon-box\" data-id=\"fa678ab\" data-element_type=\"widget\" data-widget_type=\"elementskit-icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" >        <!-- link opening -->\n                <a href=\"http:\/\/www.newbrunswickpediatricgroup.com\/uploads\/4\/5\/1\/5\/45155189\/color_letterhead.doc\" target=\"_blank\" class=\"ekit_global_links\">\n                <!-- end link opening -->\n\n        <div class=\"elementskit-infobox text-center text- icon-top-align elementor-animation-   \">\n                            <div class=\"elementskit-box-header\">\n                <div class=\"elementskit-info-box-icon \">\n                    <img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"512\" src=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png\" class=\"attachment- size-\" alt=\"\" srcset=\"https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document.png 512w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-300x300.png 300w, https:\/\/signs2gonj.com\/newbrunswick\/wp-content\/uploads\/2025\/02\/document-150x150.png 150w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/>                <\/div>\n          <\/div>\n                <div class=\"box-body\">\n                            <h3 class=\"elementskit-info-box-title\">\n                     Outgoing Patent Release Form                <\/h3>\n                                            <\/div>\n        \n        \n                <\/div>\n                <\/a>\n        <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please print, complete, and bring these forms prior to your first office visit Medical History Form Financial Policy Patient History Form Privacy Consent Form Record Release Form Patients: Incoming Patient Release Form Outgoing Patent Release Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"inside.php","meta":{"footnotes":""},"class_list":["post-3046","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/pages\/3046","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/comments?post=3046"}],"version-history":[{"count":22,"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/pages\/3046\/revisions"}],"predecessor-version":[{"id":3073,"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/pages\/3046\/revisions\/3073"}],"wp:attachment":[{"href":"https:\/\/signs2gonj.com\/newbrunswick\/wp-json\/wp\/v2\/media?parent=3046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}