Paperwork

The links below will provide you with our patient paperwork. Please feel free to print these out and complete them before you come in for your first visit.

The following documents are in Adobe PDF format. You will need Adobe® Reader® to download and view them. If you do not have it, you can download Adobe® Reader® by clicking on the image to the right.

Financial Policy
> DOWNLOAD
Missed Appointment Policy
> DOWNLOAD
Patient Privacy Rights
> DOWNLOAD
Acknowledgement of Receipt of Privacy Rights
> DOWNLOAD
Simple Agreement Form
> DOWNLOAD
Assignment of Benefits
> DOWNLOAD
Treatment Commitment
> DOWNLOAD
E-mail Communication Form
> DOWNLOAD

 

 

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