Helpful Forms

If you are a new patient, please print and complete the following three (3) forms and bring them to your first appointment.

1) Informed Consent for Treatment & Notice of Policies and Practices (NPP) to Protect the Privacy of your Health Information (HIPAA)

2) Billing Authorization Form & Cancellation Policy Agreement

3) New Patient Intake Form

• Good Faith Estimate Form

• Good Faith Estimate Notice