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Patient Registration Forms & Privacy Notices

Registration Forms

If you are a new patient, please fill out the two forms below and bring them with you when you come for your appointment.

Patient Consent

Patient Registration Form

Medical Records Release(as needed)

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Nota de Privacidad

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:

get Adobe Acrobat Reader free (this link opens a new browser window).