Below are links to the forms you may need prior to your initial appointment.
Included here are: New Patient Contract, Health History Form, Notice of Privacy Practices, Acknowledgement of Privacy Practices, and the Medicare Opt-Out Agreement.
Patient Forms
Everything you need to get started
Form — Instructions
Form Instructions
We invite you to access any of our forms prior to your next appointment. In this section, you will find all that you need to ensure you have an efficient and high-quality visit.
New Patient — Contract
New Patient Contract
Please download and fill out our new patient form first.
Download Form
Health History — Form
Health History Form
Second, please download and fill out the Healthy History Form.
Download Form
Notice of — Privacy Practices
Notice of Privacy Practices
Third, download and review our Notice of Privacy Practices, which outline our promise of privacy and confidentiality of all client information.
Download Form
Acknowledgement — of Privacy Practices
Acknowledgement of Privacy Practices
This form is required for legal purposes to acknowledge that you have received and read our promise of client information privacy practices.
Download Form
Medicare Opt-Out — Agreement
Medicare Opt-Out Agreement
Finally, please download and fill out this form if you would prefer to opt-out of any Medicare-related insurance coverage.
Download Form
