paperwork

For your convenience, our Patient Forms are available to view online, and complete prior to your visit. Please download the registration forms to print them, fill them out by hand, and bring to the clinic on your first visit. Also, download the release of patient information form.

 

The forms include: PATIENT INFORMATION, HEALTH HISTORY, FINANCIAL RESPONSIBILITY and INSURANCE INFORMATION, PRIVACY STATEMENT, AND A RELEASE of MEDICAL RECORDS (This form is available if you wish to submit to your previous care provider to transfer records to our facility, or we can obtain them upon your request and consent.)