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New Patient Forms
*Print, complete, sign and date the appropriate forms.
Then bring with you for your first visit along with your
insurance card and driver's license.
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Note: The Patient Privacy Policy
is provided in this link
HIPPA Privacy Policy. It is provided for
your review online or to print if you wish to retain a
hard copy for your files. You do not need to bring with
you.
We request you print these
forms SINGLE-SIDED only.
Please
do NOT print double-sided.
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Intake and health history...[these
forms are for patients age 14 and older]
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Pediatric intake and health history...[these forms are for
patients UNDER 14] |
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The forms require Adobe Reader
or other PDF reader. If you need to install Adobe
Reader,
it is available to download and install free of charge at the
following link.
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