Patient Forms

Patient Intake Form (PDF)-The purpose of the patient intake form is to provide the healthcare provider with a comprehensive understanding of the patient's health status, lifestyle, and medical background. This information is essential for accurate diagnosis and effective treatment planning. If you have issues completing this form on the patient portal, please obtain from this link and bring to your first visit.

Authorization for Release of Medical Information (PDF)- The purpose of an Authorization to Release Medical Information form is to give healthcare providers the necessary permission to share a patient's personal health information with specified individuals or organizations. The Authorization to Release Medical Information form ensures that this process is handled in a way that respects the patient's privacy rights while facilitating necessary communication about their care. (Click here for form)

Preferred Contact List (PDF)- A preferred contact list for patients is a document or database that records the preferred method of communication for each patient. This allows healthcare providers to respect patients' preferences and increase the effectiveness of communication. (Click here for form)