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Clinic Forms

New Patients: Print and fill out these forms to speed up the intake process during your first visit.

PDF, Adobe Reader required)

 

NEW PATIENT INFORMATION FORM

Consent for Use and Disclosure Health information

Arbitration and Informed consent   

 Privacy Policy

Birth History

 

  (PDF, Adobe Reader required)

 

Additional Forms

 

Health Insurance Financial Agreement 

 

 

 

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