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Patient Forms

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New Patient Forms

Many documents that are needed for new patient registration or that are regularly requested of our patients are available here for printing and filling out at home at your convenience. Assistance in filling out any of the forms are available at any of our clinics during normal business hours.

Waterfall Information & Patient Registration

Click to download this form.

New Patient Welcome Form - English

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New Patient Welcome Form - Spanish

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Patient Registration - Spanish

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Health History Questionnaire

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Patient Information, Rights and Resonsibilities

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Records Release Form

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Medical Information Release - Spanish

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Sliding Discount Fee Schedule Information & Application

Click to download this form.

Waterfall Policies & MyChart Information

Click to download this form.