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Patient Forms

Downloadable files that patients can pre-fill before coming to doctor's office

Adult Health History Questionnaire

Your answers on this form will help your health care provider better understand your medical concerns and conditions

Download

Cuestionario de historial de salud para adultos

Sus respuestas en este formulario ayudarán a su proveedor de atención médica a comprender mejor sus inquietudes y afecciones médicas

Download

Pediatric Enrollment Form

Your answers on this form will help your health care provider better understand your child's medical concerns and conditions

Download

Authorization to Release Private Health Info

If you want to share your private health information with a third party, please fill out this form

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Notice of Privacy Policy

This notice describes how medical information about you may be used and disclosed and how you can get access to this information

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