Form #1: Privacy Policy / HIPAA (Note: This form is for you to keep)
Form #2: Notice of Privacy Policy / HIPAA Receipt
(ALL Patients: please bring with you to your first appointment)
Form #3: Consent to Release Information
(ALL Patients: please bring with you to your first appointment)
Form #4: Adult Patient Registration – Part A
Form #5: Adult Patient Registration – Part B
(Adult Patients: please bring with these two with you to your first appointment)