NEW PATIENTS

 

 

Forms for our New Patients

Following is a list of forms for our new patient use.  We do ask to go ahead and print/fill out the forms prior to your first consultation appointment. If you do not have access to a printer, we will have these forms for you when you arrive. We do ask to arrive 15-20 minutes early if you need to fill out of the forms in our office.

 

ASSIGNMENT OF BENEFITS

HIPAA

Office Fee Schedule and Financial Policy

New Patient_Health_Record

Pediatric History Form

Terms of Acceptance

Photo Release

Informed Consent

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