New Patient Packet

Please print and complete this packet prior to your first appointment to maximize the amount of time you spend with the doctor.

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HIPAA – Notice of Privacy Practices

Please read our privacy policy to understand how we use and disclose your medical information.

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Records Transfer Form

To have your past medical records transferred from a previous physician’s office, please complete this form and mail directly to your previous physician

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Financial Policy

Please read our Financial Policies and fill out the back portion acknowledging them.

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Kinship/Caregivers Informed Consent for Minors

To have someone other than the parents bring your child in for a visit or other information (such as a grandparent or babysitter) please fill out and sign this form.

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