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PDF Forms
You can download, print and complete the new patient registation forms below. This will make your registration process faster once you arrive to our clinic. The file format is Adobe Acrobat. If you do not have this application you can obtain it free of charge from the Adobe website here:





 
Sociodemographics
Patient intake form
Sociodemographic data form (name, address, phone numbers etc).






 
Confidentiality 2
HIPAA consent form
Consent for the use or disclosure of your protected health information.






 
more coming...
more coming
Additional documents will be added in the near future.



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