Patient Forms

  • FYI: Photo ID Required

    To 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.

  • Release of Information

    This form allows us to release your medical records or request your records from another office.

  • Office Policies

    Description of our policies including no-show appointment fees.

  • Notice of Privacy Practices

    Our 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 Protections

    The rights and protections against surprise medical bills.

  • Good Faith Estimate

    You have the right to receive a “good faith estimate” explaining how much your health care will cost.

—To learn more or to schedule an appointment —

Current patients: please use our online scheduler in your patient portal.

New Patients: please TEXT or call our office at (208) 898-8999