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Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the registration forms below and bring them with you when you come for your appointment.

Registration Forms

Patient Registration

Patient Consent

Patient HIPAA Form

Patient Medical History

Permission to Release Private Health Information

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad

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