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FORMS

For both new and established patients, please fill out the Demographic, Family History and Social History form for our transition to the Electronic Health Record.

Demographics Form
Please complete this form about your demographic information before your next visit. This form will need to be filled out annually to ensure that our information is up to date.
Download

Family History Form
Please complete this form about your family history before your next visit.
Download

Social History Form
Please complete this form about your social history before your next visit.
Download

Records Transfer Form
To have your past medical records transferred from a previous physician's office, please complete this form and mail directly to your previous physician
Download

HIPAA Form
Federal law requires each parent or patient over the age of 18 to sign this form before being attended to by a physician for the first time
Download



All of our publications are in PDF format. You will need Adobe Reader, a free download.

To download any of our publications, right-click and choose "Save file as..."
On a Macintosh, hold down the control key and click and choose "Save file as..."
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