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Patient forms1

Cash Patient Forms

Please right click on each of the forms listed and select "save as" option to download forms.  Please print and fill them out completely in advance and bring them to us on your first visit. should you have any questions relative to information on the form please contact our office and we will be glad to assist you. If you need Adobe Reader you may download it from our Useful Information Page


Welcome Form

This is our initial patient information form

Download Welcomenew.pdf

Time of Service Discounts

Web Version of Fee structures

Download Time of Service Discount.pdf

X-Ray Policy

Our internal policy regrading on site X-Ray Services

Download NEW_POLICY_REGARDING_XRAYS.pdf

HIPAA Form

HIPAA Disclosure form

Download HIPAA.pdf