FORMS TO FILL OUT PRIOR TO YOUR FIRST VISIT:
1. Patient Registration Form
2. Acknowledgement of Notice of Privacy Practices and Request for Confidential Channel of Communications
(Please sign this only after your have read our Notice of Privacy Practices)
MEDICAL RECORDS RELEASE AUTHORIZATION FORMS:
3. Record Release Authorization - Transferring into our practice
4. Record Release Authorization - Transferring out of our practice
1. Patient Registration Form
2. Acknowledgement of Notice of Privacy Practices and Request for Confidential Channel of Communications
(Please sign this only after your have read our Notice of Privacy Practices)
MEDICAL RECORDS RELEASE AUTHORIZATION FORMS:
3. Record Release Authorization - Transferring into our practice
4. Record Release Authorization - Transferring out of our practice