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Patient Information/Forms

Our Patients:  We Strive to make each patient's needs and their total health care our priority by prevention and education.  We treat each patient as a loving member of our family.  We strive to exceed our patients expectations. 

If you are a new patient to our office, the below links contain our new patient forms that will need to be filled out when you arrive to our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly rather than completing them on your arrival.  Thank you and please feel free to contact our office if you have any additional questions.

Medical forms pg 1

Medical form pg 2

NOTICE OF PRIVACY PRACTICES Omnibus Rules.pdf

THIRD PARTY CONSENT FOR RELEASE OF MEDICAL RECORDS.pdf

PT ACKNOWLEDGEMENT OF RECEIPT OF PRIVACY PRACTICES CONSENT & RELEASE FORM 7.2.14.pdf

This web site uses files in Adobe Acrobat Portable Document Format Download Adobe Reader (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

 

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