Forms for New Patients

If your child is a new patient, please fill out the registration forms below and bring them with you when you come for your child's appointment.

Registration Forms

Patient Registration Form

Patient Consent Form

Authorization to Release Protected Health Information (PHI) and Right to Accces

Privacy Notices

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

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad - En Español

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