Please download and fill out the appropriate form and bring it with you on your next visit.
These forms, like the entire medical record, will remain confidential and not be released to anyone without your approval.
Medical History (pdf)Download
Patient Abuse Policy (pdf)Download
Insurance Plans (docx)Download
Missed Appointment Policy (pdf)Download
Vaccine Policy Statement (docx)Download
Care of the Newborn Infant (pdf)Download
Emergency Room Letter (pdf)Download
ER infographic (docx)Download
Patient Registration (docx)Download
Authorization for Medical Records (pdf)Download
Financial Policy (docx)Download