Normally, we mail these forms to you in advance of your first visit, but if you did not receive them or need another copy, you can download and print them from here.
The Health Insurance Portabilility and Accountability Act (HIPAA) forms consist of 4 pages. Print the first 3, read and keep for your records. Print and sign page 4 and bring it with you.
Page 1, Page 2, Page 3 (For your records)
Page 4 (Fill out)
Next are the Health History Forms. Please fill them out to the best of your ability and bring them with you.
Pages 1 and 2 (Fill out)
Lastly are the Payment Forms. More information about how our office handles payments, insurance payments, and co-payments can be found on the Payment page.
Pages 1 and 2 (Fill out)