Welcome to our forms page. For your convenience, we have made the following forms and documents available for download. Please read the instructions for each form.

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New Patient Registration Form - Click here to download our "New Patient Registration" form. Print and complete the form prior to your appointment. This will save you time when arriving for your first appointment.

Notice of Privacy Practices Form - Click here to download our "Notice of Privacy Practices" statement. This notice is, as required by HIPAA, to inform our patients of our privacy practices and our patients' rights.

Acknowledgement of Receipt of Notice of Privacy Practices Form - Click here to download our "Acknowledgement of Receipt of Notice of Privacy Practices Form". This form acknowledges that you have received a copy of our "New Patient Registration". Print and complete the form prior to your appointment. This will save you time when arriving for your first appointment.

X-Ray Request Form - Click here to download our "X-Ray Request" form. Print and complete this form if you wish to have your X-Rays released to you. This form is required by HIPAA to protect patient confidentiality.

 

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