Forms require Adobe Acrobat Reader.
Forms in English:
For your review:
For you to complete (either electronically or in writing):
- Alternate Caregiver form (optional)
- Family Demographic form
- Health History form
- General Agreement
- Notice of Information Practices
- Payment Policies
- Text and Email Consent form (optional)
- Out-of-Town Visitor Demographic and Consent form (for out-of-town patients visiting our office for a single visit)
- Designation of Health Representative for Patients 18 years of age and Older
Forms in Spanish:
For your review:
For you to complete (either electronically or in writing):
- Formulario de consentimiento de tutor suplente
- Información demográfica de la familia
- Historial de salud de nuevo paciente
- Acuerdo general
- Políticas de pago, pacientes
- Formulario de consentimiento para correos electrónicos
- Formulario de consentimiento para mensajes de texto