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HIPAA Compliant Forms

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Fill out this form if it is your first time visiting our office, or if it has been over a year since your last visit.

Once you reach the end of the document hit “submit” and it will be sent over to our office

Parents/Guardians fill out this form on behalf of the patient if the patient is under 12 years old. If the patient is 12 years old or older, please have them fill out the New Patient Paperwork form above.

 

Once you reach the end of the document hit “submit” and it will be sent over to our office.

If you were in a motor vehicle accident in the last three months, please fill out this form. You will be asked to provide some basic information about your accident.

 

Once you reach the end of the document, hit “submit” and it will be sent over to our office.

Father and daughter at computer