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Patient Forms
If you are a new patient, please fill out the first two forms below and bring them with you when you come for your appointment.
Registration Forms
Patient Financial Responsibility Policy
Medical Records Release Authorization
Privacy Notices
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.
Aviso Sobre Las Practicas De Privacidad
These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:
(this link opens a new browser window).
Hospital Affiliation
