Patient Registration Forms & Privacy Notices
If you're a new patient, please fill out these forms listed below to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment and try to arrive 15 minutes early. If you're running more than 15 minutes late, please call the office.
- Patient Registration Packet
- Patient Instructions
- HIPAA Acknowledgement Disclosure Consent
- Payment Policy
- Registro De Pacientes
Patient Rights & Responsibilities
We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
- Notice of Privacy Practices (provided for you at your first visit)
- Aviso Sobre Las Practicas De Privacidad (proporcionada por usted en su primera visita)
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