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New Patient Consent Forms

Please print and fill out the forms below before your first appointment. If you would like to fill them out at the office, please arrive a few minutes prior to your scheduled appointment time. Thank you!


HIPAA Form: HIPAA.pdf

Agreement of Financial Responsibility Form: Agreement of Financial Responsibility.pdf

Patient Attendance Policy Form: Patient Attendance Policy.pdf

Access to Wellevate: Wellevate.pdf


Please make sure to fill out the New Patient Online Intake Form as well!