Understanding what has happened and what is needed to recovery
from and function is what makes for an excellent doctor-patient
relationship. Please review the information below and bring
your
questions to the clinic visit with your doctor.
To provide the most direct service to our
patients we ask that, after your appointment has been scheduled,
you complete the following forms and bring these to the clinic.
You can print off either an MS-Word format document or Adobe PDF
format document for each form but you only need to print one off
and fill out. Completing this information prior to your
appointment will help to speed service to you.
Notice of Privacy Practices
(MS-Word format)
Notice of Privacy Practices
(Adobe PDF format)
Patient Registration (MS-Word format)
Patient Registration (Adobe PDF format)
Release of Information (MS-Word
format)
Release of Information (Adobe
PDF format)
Health History Questionnaire
(MS-Word format)
Health History Questionnaire
(Adobe PDF format)
