Patient Forms & Policies

FORMS AVAILAVLE FOR DOWNLOAD

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Clinic Information Form

Financial Policy Form

Medical Records Release Form

Patient Intake Form

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Notice of Privacy Practices

Payment Policy

Notice of Privacy Consent Forms

Your FIRST appointment:

Please arrive before your scheduled appointment to allow time to complete any required registration forms. Bring your insurance card to every appointment. We will verify your insurance and personal information at each visit. You will be allowed a ten (10) minute grace period for being late after which you will be given the opportunity to reschedule or wait for cancellations.

CANCELED APPOINtMENTS:

If you are unable to keep your scheduled appointment, please call our office within 24 hours to reschedule. Doing so enables us to use your appointment slot for another patient. This policy benefits you and others. Unfortunately, if you fail to make an appointment, without calling to cancel, you will be considered a “No Show”.