Forms & Tools:
New Patient Registration (En Espanol)
Your Health History
Medical Records Release Form
Patient Rights and Responsibilities
HIPAA Notice of Privacy Practices
Acknowledgment of Receipt
General Consent for Care and Treatment
Consent to Contact
HIPAA Contact Disclosure
Consent to Obtain Patient Medication History
Our Care Model
How To Choose a Doctor
Becca Hummer, NP-C
Family Medicine
Languages:
English
Medical School:
Master of Science in Nursing, Grand Canyon University
Board Certifications:
American Association of Nurse Practitioners (AANP), Academy of Nurse Practitioners (AANP)
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