Patient Registration

Please print and fill out the following forms prior to your first visit, or arrive 15-20 minutes early to do so.

• AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION FORM
• HIPAA NOTICE OF PRIVACY PRACTICES
• HIPAA PRIVACY PRACTICES ACKNOWLEDGEMENT FORM
• NEW CHILD PATIENT INFORMATION FORM
• NEW PATIENT INFORMATION FORM
• OUR OFFICE POLICY