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Patient Forms

You may print the forms below and bring them into the clinic with you or fill them out online via our Klara messaging system. Choose the option that best suits you. 

Release of Patient Information

HIPPA Authorization to Release Patient Information

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Consent to Treatment

Authorization and Consent to Treatment

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Preferred Contact

Preferred communication and contact form. 

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Privacy Practice

Notice of Privacy Practices.

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Financial Policy

Financial policy and patient responsibility. 

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