Information:

Please have a look at the following files.  By checking these out, and printing off those which apply to you, you will expedite your first visit to the office.  For example, if you print off and fill out the initial medical history form, we won't have to take your time to gather this information during your appointment. 

Files:

• A Welcome Letter from our Office Manager
• Notice of Privacy Practices
• A Medical History form
• A Records release form, to send to your previous doctor to have your chart sent here
• the Authorization of Benefits form, to allow us to bill your insurance company.
• The Medical Power of Attorney enables relatives or friends to consent to your child’s emergency medical care
• The Patient Registration form helps us get all the demographics about you correct.
• A Records release form, to send information from your chart here to another doctor