To help us save time on the day of your appointment, we ask you to read and complete the following forms as applicable and bring them to your visit. You will need Adobe Reader to view and print the forms.

• Patient Information Form
  This form provides the doctor with your health and family history, and explains our payment policy.


• Medicare Patient Form
  This form is for our Medicare patients only, who should fill it out in addition to the Patient Information Form.


• Privacy Statement
  This document explains our notice of privacy practices, which describes how your medical information may be used and disclosed, and how you may obtain access to it.


• Policy Consent Form
  Please read and sign this form to acknowledge that you have read and understood our Privacy Statement.