Please complete all the sections of the registration forms. If any of the sections do not apply to you, please cross out that section rather than leaving blank.
We take patient privacy seriously. We do not sell or share any patient identifiable information. Please review this document to learn about our practices.
If you have not been referred by a facility or another doctor, we need your permission to be able to get your past medical records for continuity of care. Please use this form granting us permission to request your medical records from the other facility.
If you would like us to provide your medical records to a third party, we need your permssion before releasing the information. Please complete the attached document and send it to us.