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Listed here are some forms you may need as a new patient. Links to each form are provided in the “Downloadable Documents” section below. 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. 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 | (49 KB) | (90 KB) |
| Patient Health History Form | (65 KB) | (186 KB) |
| PHI Release/Request Form | (52 KB) | (88 KB) |
| Office Policy Form | (173 KB) | (106 KB) |
| Privacy Notice Receipt Acknowledgement | (40 KB) | (78 KB) |
| Privacy Notice (Read only – No signature or return required) | (64 KB) | (130 KB) |