Please download and read the Notice of Privacy Practices and keep for your records. No signature is necessary on this form.
The following forms are provided in PDF and MS Word document format for your convenience. You may download either to fill out and bring with you to your first appointment:
Adobe Acrobat Reader (PDF):
Office Policies/Information Release:
Office Policies Consent Form.pdf
Notice of Privacy Practices Acknowledgement:
Privacy Practices Acknowledgement.pdf