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Patient Information

FAQ | Forms | Insurance | Patient Education


Authorization to Disclose Health Information (88KB PDF)
Consent Form - To Treat Minors (5KB PDF)
Health History Form (131KB PDF)
Health History Form - PEDIATRIC (66KB PDF)
Injury Form (80KB PDF)
New Patient Packet - General (508KB PDF)
New Patient Packet - Injury (569KB PDF)
New Patient Packet - Pediatric Physical (488KB PDF)
New Patient Packet - Physical (532KB PDF)
New Patient Packet - Sports Physical (620KB PDF)
Patient Consent for Use and Disclosure of Protected Health Information (68KB PDF)
Patient Intake Form (212KB PDF)
Patient Representative Authorization (60KB PDF)
Physical Exam Information (32KB PDF)
Policy Consent Form (92KB PDF)
Privacy Practices (288KB PDF)
Red Flags Rule Policy (31KB PDF)
Referral Process (31KB PDF)
Sports Physical Form (50KB PDF)