Patient Forms
This form allows us to release your medical records or request your records from another office.
Release of InformationDescription of our policies including no-show appointment fees.
Office PoliciesNotice of Privacy PracticesOur office is HIPAA compliant, which means that we will not share any information about you or your appointments with anyone other than you.
Patient Rights and ProtectionsThe rights and protections against surprise medical bills.
You have the right to receive a “good faith estimate” explaining how much your health care will cost.
Good Faith EstimateTo protect our patients and ensure compliance with insurance regulations, we require a valid photo ID for all individuals receiving care. This can be one we take in-office, or a government-issued ID such as a driver's license, passport, or state ID card. This policy helps us prevent identity theft and insurance fraud. If a patient is unable or unwilling to provide photo identification, we will respectfully assist them in finding an alternative clinic.
FYI: Photo ID RequiredUse the Patient Portal to:
Upload Documents for Your Provider
Download A Copy of Your Records
