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Patient Forms

If you are a new patient, please print and complete the following forms and bring them with you to your first visit:

HIPAA Release Form (if patient is adult)
HIPAA Release Form for Minors (if patient is a minor)
Receipt of Notice of Privacy Practices Acknowledgement Form (Note: please complete this form after you have read our Notice of Privacy Practices)

If you wish to have a copy of your medical records released to another party, please complete the authorization form below and bring it to our office:

Authorization for Disclosure of Protected Health Information