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Are you coming to see us for the first time? You can download and print our patient registration forms if you'd like to fill them out before you arrive for your appointment. Please be aware that you cannot submit these forms to us electronically. After filling out the appropriate forms, please bring them with you to your first appointment, along with your insurance card and a photo ID.
All patients must read and/or sign the Privacy documents noted by the asterisks * below.
Adult Primary Care (Ages 18 & up)
Pediatrics (Ages 0-17)
- Patient Information Sheet
- Pediatric Medical History
- Temp. Auth for Consent to Treat a Minor
- Immunization Consent
- Information Regarding 3rd-party Consent
Obstetrics & Gynecology (Ob/Gyn)
Privacy & Health Information
- Welcome from Health Information Mgmt
- Notice of Privacy Practices *
- Acknowledgement of Notice of Privacy Practices *
- Amendment Request Form
- Restriction Request Form
- Authorization to Release Medical Info
- Diabetes Eye Exam Release of Info
This proxy form must be turned in to your doctor's office in person. Adults can register in-person at the time of their next appointment.