Patient Forms:

For new patients, please download, print, and complete the following forms and bring them to your first appointment to save yourself time.

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• Patient Information Form

• Medical Information Sheet

• Signature on File Card

• HIPAA Policy Form

 

If your son or daughter is under the age of 18 and is planning to come to their appointment without a parent, please click on Treatment of Minors, print this form, sign it, and have your child bring it to their appointment that will allow us to treat them in your absence.

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Other Patient Forms:

• Welcome Form

• Authorization for Release of Medical Information

• Notice of Privacy

• Champ V.A. Form

• Choice Health Plan Form

• Medicaid Form

• Tricare Form

 

In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.

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