Online Forms

New Patient Welcome Form- Required

This let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

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Informed Consent - Required

This form is to inform you of the type of care we provide. By signing and dating it you are giving us permission to diagnosis and treat you. You also understand that we have verified your health care benifets and they have been explained to you thouroghly.

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Hippa Form - Required

This form describes in what instances we may or may not use you "Protected health information.

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Radiology Consent - Optional

This form just gives us permission to perform an x-ray. By signing it you are accepting responsibility to pay for services if your Insurance doesn't. Let it be none that if you do not sign it may make it impossible to treat you as a patient.

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