For Patients

Patient Registration Forms & Privacy Notices

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  • Patient Registration Forms & Privacy Notices

If this is your initial visit to our office, please take time to fill out (in detail) the intake forms. This will allow the doctor to best understand your current problem in the context of your medical history. All included forms must be completed in order for us to best serve you and assure your privacy.

Registration Forms

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:

Get Acrobat Reader (this link opens a new browser window).