• 
• 
• 
• 
• 
• 
• 
• 

Patient Forms
Our new patient paperwork consists of the following seven items.  Each of the forms can be downloaded to your computer by clicking its link. Please download all the forms, print and fill them out, and bring them to your first appointment.

Registration Form

Adult - Patient Health Form

Pediatric - Patient Health Form

Authorization for Treatment Form

Financial Policy Form

Granting Access Form

Notice of Privacy Act   (We only need the last page signed. Please keep the Notice of Privacy Act for your personal records, if you wish.)

Disclaimer
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites.