For your convenience, we have included the patient forms that need to be read and/or completed at the time of your first visit. Please print the forms, fill them in and bring the completed forms with you.
- Patient Registration/Consent for care and treatment— complete this form
- Authorization for the Release of PHI— complete this form
- Patient HIPAA Acknowledgment & Disclosure Consent (printable) — complete this form
- Patient Financial Agreement — read and complete this form
- Patient History Form — read and complete this form
- Request for Medical Records — read and complete this form
- MEDICARE PATIENTS ONLY: Assessment Tools
- Office Policies
If you should have questions regarding the completion of these forms, please don’t hesitate to call our office at (210) 404-0000 for assistance.