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New Patient Forms

new patient paperwork

Before your first visit, please read, download and print the patient paperwork found below. Fill it out and bring it with you to your first visit. This will help you save time at your first appointment. Please bring a photo ID, insurance card with any co-pay and your current medications in their bottles.

Paperwork for your Visit

PATIENT REGISTRATION FORM

Click here to Download

MEDICAL RECORDS – USE OR DISCLOSURE

Click here to Download

HIPAA-PRIVACY PRACTICE NOTICE

Click here to Download

FINANCIAL POLICY

Click here to Download

CONSENT AND AGREEMENT FOR OPIOID PRESCRIPTION

Click here to Download

CONSENT FOR TREATMENT

Click here to Download

DOWNLOAD ALL FORMS

Click here to Download

Digital paperwork

Prefer to Submit Forms Online?