PATIENT FORMS

Patient Forms

For your convenience and to ensure your appointment stays on schedule, please complete the appropriate patient forms prior to your appointment. Download and print forms:

Patient Registration | (PDF)
Tell us how you feel form (PDF)
Authorization of Use and Disclosure of Protected Health Information | (PDF)
Authorization for Medical Release of Information | (PDF)

Important information to read:

Posted Office Policies
Notice of Privacy Practices
Protected health information (PHI) / HIPAA Notice

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Holiday Hours

Our practice will be closed from December 22-29, 2024. We will be open on December 30.

Additionally, we will be closing at 12 noon on December 31 and remain closed on January 1, 2025. We open for the new year on January 2.