The three forms located below are our standard forms we require for each patient prior to seeing the patient for the first time. For new patients, in order to save yourself some time when you come in for your first appointment, please download, print, and fill out the
pat_history
Payment Policy Form
Notice of HIPPA Practices (You may just choose to read this on the screen, it does not need to be filled out. The Acknowledgment form below does, however, need to be filled out for each patient)
HIPPA Acknowledgement Form.
For our current patients, if there are changes in your medical status, insurance company, or contact information, please download and fill out the relevant section on the
Patient Information and Medical History Form.