Patient Forms

New Patient Forms:

You may download, print and complete the following forms in preparation for your appointment with us.

• Notice of Privacy Practices
• Registration form (English)
• Registration form (Spanish)
• Authorization for Release of Medical Information (English & Spanish)
• Authorization to Consent to Treatment of Minor (English & Spanish)
• Eligibility Guarantee (English & Spanish)
• Consent to Photograph

If you do not have access to a printer, do not worry. You may arrive a few minutes early and we will provide copies for you when you check in.

 

What to Bring to your Appointment:

• Health Insurance Card/Information and Identification
• A list of all medications and doses