Please print and fill out these forms so we can expedite your first visit:

• HIPPA/Assignment of Benefits
• HIPPA/Personal Representative
• HIPAA/Omnibus Notice of Privacy Practices
• Telehealth E-Visit Reimbursement Form
• Civil Rights Statement October 2016
• Information for Individuals with Limited English Proficiency
• Parental Consent to Treat Minor Child

In order to view or print these forms you will need Adobe Acrobat Reader installed.
Click here to download it.