3 March 2010,
Farmington Office Hours of Operation
4 November 2009,
New Brighton Satellite location now open!!!!!!!!!
Please click on more for office hours and information
Patient Corner: Forms
Office forms
New patients will need to have these forms completed before initial office visit.
Patient History Form (PDF)
Patient Insurance Form (PDF)
Fill out this form if your medical records need to be transferred to Dr. Leiders office prior to visit.
Medical Consent to Release Records (PDF)
Dr. Leiders office may require you to document and keep records of your personal medication.
Personal Medication Record (PDF)
The Health Insurance Portability & Accountability Act of 1996 (HIPAA)
Privacy Practices Acknowledgment (PDF)
Peri-operative forms
Office Handouts