Please fill out the forms listed below in advance of your appointment.

This will help guarantee on-time appointments and make sure we have all of the necessary information to provide you with the best care. Please be sure to bring the completed forms with you to your appointment.

Acknowledgement Page

Authorization for Release of Information

Disclosure of Ownership Interest and Advanced Directives

HIPAA Patient Questionnaire

Nondiscrimination and Accessibility Requirements

Notice of Privacy Practices

Your Rights and Protections Against Surprise Medical Bills

Patient Bill of Rights and Responsibilities

 

“My husband and mother had procedures the same day and both were treated with professional courtesy and care. Staff were friendly, polite, and observant at all times. Thank you to the whole team for a seamless experience.”

Jill, Patient

“It could not have been a better experience! Everyone there was great-they acted like they really enjoy their job and really care about the patients. Love my doctor-awesome and very informative.”

Carolyn, Patient

“Staff was excellent from first experience to leaving. I was treated with 100% respect. They turned a nervous morning into a comfortable day. Thank you to everyone. A++ all the way.”

Linda, Patient