Spend less time in the waiting room by printing and filling out the following four forms. All forms are in PDF format; you will need Acrobat Reader (a free software) to view and print them.
- Patient Information Form
This form details your personal information and medical history,
- Patient Record of Disclosure
This form tells us how best to contact you and protect your privacy.
- Notice of Privacy Practices
This form details how we handle your medical records and your rights concerning these records.
- Acknowledgment of Privacy Practices
This very simple form ensures that you have received and read our Notice of Privacy Practices.