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New Patients

New Patient Forms and Processes

If you are a new patient to our clinic, you can conveniently print the necessary forms to fill out and bring with you. (*** Click on the Back button in your browser to return to this page after you print the documents. ***)

You will need Adobe Reader.  If you dont have it, click here for a free copy.

1.  Print the Patient Registration Form.  Fill out the form and bring it with you to your appointment.

2.  Read the Notice of Privacy Practices.

3.  Print the Acknowledgement of Receipt of Notice of Privacy Practices.  Sign and Date it, and bring it with you.  If you would like a printed copy of the Privacy Notice, you may request one at your appointment.

4.  Print the Agreement.  Sign and Date it, and bring it with you.