Privacy Policy

Patient Registration Forms & Privacy Notices

If you are a new patient, please fill out the forms below and bring them with you when you come for your appointment.

Registration Forms

Patient Registration Form

Forma de Registro para Pacientes

Patient Consent to Treat Acknowledgement

Authorization for Release of Protected Health Information (PHI)

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad

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