Unknown

You Want Me To Fill Out How Many Forms?

 

We know there are a lot of forms to fill out when you first arrive. So, it will save a lot of time for you if you download them now, and have them ready to to turn into us when you arrive. Then we can get you in to see the doctor a lot faster!

Please print and fill out all the forms below and bring them with you on your first visit. Make sure to bring all insurance cards with you as well, as we will need to make copies of them.

Patient Information Sheet

Patient Responsibility Statement

Patient History Sheet 

Privacy Policy Form

Authorization For Release
—(this form is needed when transferring records either to or away from our office)