Office Forms & Notices

Here you can find various documents, forms, and notices which may be read or downloaded.

To view PDF files, download Adobe Acrobat Reader if you don't already have it. Once installed, click on the name of the document you wish to view or print.

• Patient Intake Questionnaire (pdf)

The above "Patient Intake Questionnaire" must be printed and filled out in its entirety prior to your initial visit.

• Financial Policy (pdf)

• Consent for Purposes of    Treatment, Payment and    Healthcare (pdf)

• Authorization for Use and    Disclosure of Health Info. (pdf)

• Notice of Privacy Practices (pdf)

• Notice of Privacy Practices    Acknowledgment (pdf)