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Forms Information

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As a courtesy to our patients, we do not charge a fee for forms completion.  We ask that you allow five business days for completion of all forms.  You should have the patients section completed before dropping off the form at our office.

To help expedite visits to our locations, we have provided the following forms available online.  Please download, print and complete these forms when needed and this will save you time at your scheduled appointment.

The following forms are available for your convenience

Authorization to Consent to Health Care For Minor

Patient Medical Information Sheet

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement Form

Assignment of Benefits/Financial Responsibilities