Forms

To save time, you may print the forms and complete them before your appointment, and bring them with you.

Please remember to bring a current list of your medications, a current insurance card and your co-pay along with your completed forms to your appointment.

New Patient Forms

New Patient Registration

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices

Financial Policies

Financial Policies - Spanish (Poliza Financial - Espanol)

Sleep Questionnaire - Please complete this questionnaire before arriving at the clinic, as it contains critical questions about your health and sleep.

Other Forms

Authorization for Disclosure of Health Information

Notice of Privacy Practices for the Usage and/or Disclosure of Protected Health Information