Prior to coming in for your first appointment please review (if desired print off for your records) the HIPAA Notice and Office Policies. You will then need to print off, complete and bring with you the Registration Information form, Consent Agreement form, HIPAA Signature form and Event of Breach Authorization form. The Release of Information form only needs to be completed if you need records sent or received from someone else. In addition, I will need a copy (front/back) of your insurance card. Thank you.
- Consent Agreement
- Event of Breach Authorization
- HIPPA Notice
- HIPPA Signature Page
- Office Policies
- Registration Information
- Release Of Information
Adobe Reader is required to view these forms. If you don’t have Adobe Reader installed on your computer, you can get it for free here.