Please help us be prepared for your first appointment by completing this Patient Information and Medical History Form and the HIPAA Acknowledgement (after reading our office's Notice of Privacy Practice). Download the 2 forms (New Patient Form and HIPAA Acknowledgement form) below to your computer, print them out, complete the forms, and bring them with you to your first appointment.

Please take a minute to print and fill out the patient information form before your first appointment:

» Child Health History [PDF]
» Adult Health History [PDF]
» HIPAA Acknowledgement Form [PDF]
» Notice of Privacy Practice [PDF]

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