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Please note our new hours 10AM to 2PM Mon& Fri. 1:30 to 6 Wed. We are open the 2nd and 4th Saturday of each month We now offer appointments ONLINE

Here are the forms for you to print and fill out before coming to our office for the first time. We urge you to complete these forms in the comfort and privacy of your own home.  

You must have Adobe Acrobat Reader on your computer to read these files.

 

The Acrobat Reader is available for free from Adobe, simply click on the "Get Acrobat Reader" icon to the left and follow the download and installation instructions.  

Please print these forms, fill them out by hand and bring them with you to our office. Please also be aware that forms must be completed to their entirety. If a particular question or section on the forms does not pertain to you, please mark the letters "N/A" in that particular section.

NOTE: If you have trouble printing a form, then please save the form to your hard drive, and then open and print the form directly from the hard drive.  If you are still having trouble printing, then go to http://www.adobe.com/support/techdocs/316508.html  to troubleshoot your problem.


Patient History Form

Patient Information Form

Information Release Form

Credit Card on File Policy

Credit Card Info Form and Agreement

Consent to Blood Testing Form

Patient Responsibilities & Office Policies Form

Financial Policy Form

Privacy Practices Acknowledgement Form

Notice to Our Patients

Record Transfer Request Form 

HIPAA Form