PATIENT REGISTRATION FORMS

To save time, please print each form, fill them out and sign them, and bring them with you to your first appointment.
(If you are not able to print forms, you can fill these out at your first appointment. Please come 15 minutes early to do so.)

• Financial Agreement
• Late Cancellation Policy
• New Patient Medical History
• Parental Permission
• Notice Of Privacy Practices
• Notice of Privacy Practices Acknowledgement
• Release of Information
• HIPPA Acknowledgement