Common Questions
The Best Patients are Educated Patients
Healthy Families are Happy Families
 
  Download Patient Forms

   Initial Visit Forms (Required)

This will assist your physician in making a diagnosis, assessing, and treating your present problem. This notice will tell you about the ways we may use and share medical information about you. It will also describe your rights and certain duties we have regarding the use and disclosure of medical information.

   Personal Injury Liability Form (Optional)

This provides us with information about your liability carrier and yourself, and helps us in filing a claim for your injury.

   Medicare Adanced Beneficiary Notice (Optional)

This form will tell medicare patients what medicare will pay for and what medicare will not pay for. Medicare patients also use this form to assign Medicare and Medi-Gap benefits.

   Notice of Privacy Practices (Optional)

This form will tell you about HIPAA as well as our privacy practices regarding your health information in our office.

 





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