+ New Patient Documents (click on the links to print documents)

Serving with Care and Concern since 1984

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• Privacy and Consent for Treatment Form
  

• HIPAA Notice of Privacy
  

• New Patient Registration Form
  

• Request for Confidential Communication
  

• eRx Consent
  

• Payment Agreement Form
  

• Statement of Financial Policy
  

• Medical Records Request Form
  

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