General Information
NEW PATIENT FORMS
Click the link below for each requested form. Print each form and fill it out. Bring all of the the completed forms with you at the time of your appointment.
2 - Authorization for Release of Information
3 - Patient Health and History Information
4 - HIPPA (Health Insurance Portability and Accountability Act)
5 - Principles of Medical Practice
6 - Patient Handbook (This is for you to download and keep. There is no need sign or return the Patient Handbook.)
If you are being treated for Opioid Addiction, please click the link below and fill out each of the forms to bring them with you at the time of your appointment.
7 - Opioid Addiction Package (5 forms, 9 pages total)