New Patient Paperwork:

Please take a moment to fill out and print patient information forms before your first appointment. Please sign and date the forms and bring with you to your appointment.

  1. Welcome Letter

  2. Notice of privacy Practice.

  3. New Patient Form

  4. Patient Authorization Form

Records Release Form:

  1. Records Release Form

Physician Referral Form:

  1. Physician Referral Form

Telemedicine Consent Form:

  1. Telemedicine Consent Form

    AB 1278:

    https://openpaymentsdata.cms.gov

    “For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”