Patient time and convenience is important to us. To expedite the patient experience on appointment day, we have provided commonly used forms to print, complete and return at the appointment.
Our statement regarding the handling of your medical information in compliance with HIPAA regulations.
PATIENT FORMS (Yearly)
Please bring: All insurance cards (primary, secondary and tertiary), photo ID and co-payment, deductible and co-insurance.
New Patients:
Arrive 30 minutes before your appointment time.
Existing patients:
Arrive 15 minutes before your appointment time.
Annual Medical History
Patient Registration and HIPAA
Financial Policy
Consult Form
Annual Exam Consent
MEDICAL RECORDS
Patients may request medical records to be sent to our office from another office.
Please print the Medical Records Release Form, complete it, and fax, deliver or mail it to the office which currently has your medical records.
OBSTETRIC (PREGNANT) PATIENT FORMS
Please arrive 30 minutes before your appointment time so that we may prepare information for the clinical visit.
Patient Registration and HIPAA
Annual Medical History
Financial Policy
Annual Exam Consent
MISC. FORMS & LETTERS
We offer services for patients who require forms and/or letters completed during care. Fees for this service are due from the patient prior to the release of the form/letter. These forms include, but are not limited to:
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