If you are a new patient, please fill out the New Patient forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment along with your insurance card(s), copay, current medications, vaccination records and custody paperwork if applicable.
New Patient Forms - Adults
- Demographics – Adult – ages 18 & up
- Financial Policy
- Adult Health Questionnaire – ages 18 and up
- Medical Records Release- Adult
New Patient Forms - Minors
- Demographics – Pediatric – ages 0 – 17
- Financial Policy
- Adolescent Health Questionnaire – ages 7 - 17
- Pediatric Health Questionnaire – ages 0 - 6
- Medical Records Release – Minor – ages 0 - 17
Patient Rights & Responsibilities
We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.
Privacy Notices
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
- Notice of Privacy Practices (provided for you at your first visit)