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Patient Forms

For New Patients:

We recommend that you download the patient registration forms below. The download contains a New Patient Registration form, Health History forms, and a Privacy Policy form. Please be sure to complete all pages prior to your arrival and bring them with you for your visit. This will help speed up the new patient registration process and get you in to see the doctor faster.

Download New Patient Forms

Authorization to Release Healthcare Information:

In order to share information with other health care providers, you will need to download and complete a release of information or release of records form. This form will expire 90 days after signature.

Download Authorization Form

HIPAA Privacy Policy Information:

Your privacy is very important to us. Here you can find a copy of our privacy policy to learn more about how medical information about you may be used or disclosed.

Download Privacy Policy Form

Office Payment Policy

Patients are responsible for payments of services rendered. Please read this form carefully and ask any questions prior to signing the agreement.

Download Payment Policy Form

Athlete Pre-Participation Examinations

If you're visiting for Athlete Pre-Participation Examinations, please complete the entire history section prior to seeing the physician.

Download Examination Form
Download High School Sports Physical Form