Forms
Get your paperwork out of the way before your appointment
If you prefer, you can print and fill out the preregistration forms before your appointment, or you can login to your patient account to submit forms online.
If you choose to print forms, please fill out the information as completely as possible and bring to your first appointment. All patients are required to update these forms on a yearly basis.
Forms for Download
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Patient Information Form
This form is required for first-time patients.
180kb PDF
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Patient Health History
To help us meet all of your health care needs, please fill out this form completely.
627kb PDF
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Notice of Privacy Practices
Your patient information is strictly confidential.
110kb PDF
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Acknowledgment of Privacy Practices
Acknowledge that you have read and understand our privacy practices.
50kb PDF
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Authorization for Release of Protected Health Information
We may need to request your medical records from another institution.
187kb PDF
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Patient Information Form — En Español
This form is required for first-time patients.
105kb PDF
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Authorization for Release of Protected Health Information — En Español
We may need to request your medical records from another institution.
9kb PDF