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Registration Forms

1) Please click here to review the HIPAA notification form

2) Please click here to download the Registration and Consent to Treatment Form

3) Please click here to download Credit Card Authorization Form

4) Please click here to download an authorization form so we can Email or Fax you office consultation notes and lab results

5) Please click here to download and sign our office policies.

6) Vaccine Statement of Rights/Informed Consent

7) Intake Form

8) Please fax to our office a copy of both sides of the patient's insurance card

9) Please click here to download a form to instruct other medical offices to release your medical records to you. We do not accept hard copies of medical records. We only accept scanned/faxed/emailed medical records.

10) Please click here to download the Change of Address Form

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