Listed here are some forms you may need as a new patient. These documents are available in either Microsoft Word format or in Adobe Acrobat Reader format.
Adobe Acrobat Reader is available free of charge from Adobe’s website, and is available in Macintosh, Windows or Palm OS format. The current version of Adobe Acrobat Reader can be accessed by clicking on the image below.
|
Form Name
|
Word Format | Acrobat Format |
|---|---|---|
| Patient Information and Consent Form | (41 KB) | (41 KB) |
| Patient Health History Form | (43.1 KB) | (115.3 KB) |
| Authorization to Use and Disclose PHI (Protected Health Information) | (38.4 KB) | (25 KB) |
| Notice of Privacy Practices |
(40.3 KB) | (58.4 KB) |