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Patient Forms

As part of our fight against Covid-19, we request our patients to download, print, and fill out these forms before arriving at the office. 

We thank you for your cooperation!

  • Patient Forms: Please fill out both forms, and be sure to sign the bottom of form 2.

  • Notice of Privacy Practices: This document describes the privacy practices of the office. You do not need to print the Notice of Privacy Practices. However, please retain a copy of the privacy practices for your records

  • Acknowledgement of Receipt of Privacy Practices: After you finish reviewing the privacy practices, please print and sign the Acknowledgement.

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