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Patient Forms

If you are a new patient, please fill out the forms listed below in advance of your appointment to assist our physicians and 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.

Registration Forms

Patient Consent Packet (PDF - 316 KB)

Patient Rights and Responsibilites (PDF - 232 KB)

Derechos y Responsabilidades del Pacientes (PDF - 316 KB)

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

Aviso Sobre Las Practicas De Privacidad

Medical Release

Authorization for Release of Protected Health Information(PHI) (PDF - 23 KB)

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