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Forms

Appointment Cancellation Policy (pdf)

Consent for Use of a Physician Extender (pdf)

Financial Responsibility (Self Pay) (pdf)

Insurance Information & Financial Responsibility (for Insured patients) (pdf)

Intake Questionnaire & Medical History (pdf)

Medication Refill Policy (pdf)

Medication Risks (pdf)

Notice of Privacy Practices (pdf)

Parent's Information (for minors) (pdf)

Patient Information (pdf)

Patient Laboratory Screening (pdf)

Pregnancy & Risk Acknowledgement (pdf)

Questionnaire for follow-ups (pdf)

Virtual Office Policies - (pdf)