You may access the following forms to assist us with your care. Please print and fill out the necessary form(s) and then bring them to your appointment.
- Medical History (Adult)
- Medical History (Child)
- Financial Policy
- Incoming Records Release Form
- Outgoing Records Release Form
- Notice of Privacy Practices
- Receipt of Notice of Privacy Practices
- HIPAA Authorization Form for Family Members/Friends
- HIPAA Acknowledgement
- Federal Regulations
- Opt Out Form
These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.