PLEASE NOTE THAT YOU OR LOVED CAN NOT BE SEEN BY OUR PROVIDERS UNTIL YOUR PAPERWORK HAS BEEN COMPLETED!!
For your convenience, you can FILL OUT your New Patient Forms online, prior to your first appointment. Each of the following forms MUST be completed:
Patient Information Form
Personal Social History Form
Medication & Pharmacy Information Form
Medical Records Release Form
Consent to Treatment Form
Permission to Share My Personal Health Informaton Form
Acknowledgement of Receipt of Notice of Privacy Practices Form
______________________________________________________________________________
Please DOWNLOAD the Following New Patient Information:
Welcome Letter
Notice of Privacy Practices______________________________________________________________________________
______________________________________________________________________________