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Welcome to our practice. If you are a new patient, kindly complete all forms. If you have not been to our office within 6 months please fill out first form only. 

1. Patient Information Record: New or Established

2. Confidential Health History

3. Authorization for Disclosure of Health Information

4. Acknowledgment of Privacy Practices

5. Notice of Privacy Practices


On your appointment date, please bring the following:

Completed form/s

Your insurance card/s

Valid identification card

Any co-payment due

Medication list if it applies