Please print and complete the appropriate Registration form (Adult or Child), as well as the Patient Consent and Release Form listed below. In addition, please locate any additional Health History Forms required by your provider, and bring all completed paperwork with you to your appointment.
Adult Registration Form (PDF Format)
Children’s Confidential Personal Data Form (PDF Format)
Patient Consent and Release Form (PDF Format)
Provider Health History Forms
Release of Medical Records
Authorization for Disclosure of Medical Records Form (PDF Format)