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  • Submit Documents

  • Use this form to securely submit any documents needed for your application or requested by the clinic or the Baptist Business office.

    The clinic will add the documents to your patient file.

    You may submit this form more than once.

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  • Upload document files from your computer or device. You may upload more than one at a time.

  • Select File(s)
    Drag and drop files here
    Choose a file
    Cancelof
  • Or, take photos of your documents. Each page will need a separate photo. Please make sure photos are clear.

  • Should be Empty: