Robin L. Bailey, M.D.

Robin L. Bailey, M.D.Robin L. Bailey, M.D.Robin L. Bailey, M.D.

(814) 807-1700

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Robin L. Bailey, M.D.

Robin L. Bailey, M.D.Robin L. Bailey, M.D.Robin L. Bailey, M.D.

(814) 807-1700

  • Home
  • FORMS
  • Directions

Please print out and complete the forms, below, prior to your appointment

Welcome practice info 9.19 website (docx)

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Registration form for insurance 9.19 website (docx)

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Personal History 3.9.19 website (docx)

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Medical History 9.19 Website (docx)

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Informed Consent for treatment 9.19 website (docx)

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Financial Policy 9.19 website (docx)

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Cross cutting scale (pdf)

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PHQ 9 Score Tallying Sheet (pdf)

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Authorization To Use or Disclose Health Info (pdf)

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Robin L. Bailey M.D.

18257 Industrial Drive, Suite B, Meadville, PA 16335

Phone:(814) 807-1700 Fax: (814) 217-6742

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