Helpful Forms

If you’re a new patient, please complete the following forms and bring them to your first appointment.

New Patient-info-sheet
New TB Patient History
Insurance-Information
HIPAA_AuthorizationForm
DisclosureAuthorizationForm
MedicalInformationRelease


If you would like our team to coordinate care with another physician practice please complete the form below to authorize release of your medical record, or the authorization for another physician practice to disclose information to us:

English Notice of Privacy
Spanish Notice of Privacy


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