Patient Registration Forms & Privacy Notices

If you are a new patient, you may download and complete our registration forms below and bring the completed forms with you when you come for your appointment.

Registration Forms

Patient Registration

Patient Medical History

Epworth Sleepiness Scale

Patient Consent

Authorization to Release Medical Records (as needed only)

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:

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