Please click on the link below and fill out the forms. Make sure to bring them to your first appointment. At this time you can't submit them online.

       

Patient Information

   
       

Authorization for Use and Disclosure of Medical Information

   
       

Please ONLY read the "HIPAA Privacy Policy" You must keep a copy for your file. You DON'T need to bring a copy to your appointment

       

HIPAA Privacy Policy

   
 
   
 
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