For your convenience, several of our forms are listed below.

New Patients
You can “complete” our New Patient forms online! You will need Adobe Acrobat Reader to open the forms. Adobe Acrobat Reader may open the forms on your computer automatically. If it does not, Adobe is available free by clicking the icon below.

Once you open the form, use the tab key to go from field to field. When completed, print the form and bring it to the Clinic. You cannot save the form, so if you notice a mistake after printing, you can handwrite the correction of the form.

• Patient Demographics
• Patient Medical History
• Patient Injury or Illness Information
• Clinical Financial, appointment & Privacy Policies

Release of Medical Records
Please complete the form below if you want a copy of your medical record sent to another health care provider or insurance company. Please see the paragraph above under New Patients for instructions on completing the form.

• Release of Medical Record Form

Privacy Practices
Our privacy practice form is attached for your review.

• Notice of Privacy Practices