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Patient Forms

Submit medical history online

Click the link below if you want to submit medical history electronically
Electronic Medical History Form

Download and print new patient health history form

Click the link below if you want to download the PDF
New Patient Health History Form PDF

Credit authorization form

Click the link below if you want to download the PDF
Credit Authorization Form PDF

Notice of Nondiscrimination
(Section 1557 of the Affordable Care Act)

Click the link below if you want to download the PDF
Notice of Nondiscrimination

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