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New Patient Forms

Please fill out our new patient forms before your appointment. So we can have everything ready and your insurance verified when you arrive.  

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Request for 

release of medical


To protect your information we require a request form to release any medical information. Please fill out this form and we will promptly send your records.  

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Identifying Health


Authorization for release of identifying health information. Releasing medical records to you! 

Privacy Practices

We will always protect and respect your information and medical records. Please review our HIPAA privacy policy.  

CALL US: 972-727-5717