Patient Forms

If your are a new patient, please fill out the registration forms below and bring them with you when you come for your appointment.

Registration Forms

• Patient Registration Form
• Patient Consent Form
• Authorization for Release of Protected Health Information (PHI)

Privacy Notices

This privacy notice describes how health information about your child may be used and disclosed and how you can get access to this information.Please review it carefully.

• Notice of Privacy Practices
• Aviso Sobre Las Practicas De Privacidad

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