Patient Forms

For your convenience, the following forms are available to help you review our policies and prepare for your upcoming visit.

Authorization for Release of Medical Information (PDF) – Allows you to authorize the disclosure of your health information to a designated individual, company, agency, or facility.

Authorization and Consent for Treatment (PDF) – Required for all patients, this form provides consent for treatment, communications (calls, emails, text messaging), and agreement to financial responsibility.

Preferred Contacts (PDF) – While optional, completing this form helps us understand your preferred contacts for communication.

Financial Policy (PDF) – Explains your financial responsibility for all medical services, regardless of insurance coverage.

Notice of Privacy Practices (PDF) – Describes how your health information may be used and disclosed, as well as how you can access your medical records. Please review it carefully.