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Patient Forms

Save time at your appointment by filling out forms in advance.

Patient Forms (English)

 Authorization to Obtain Medical Information
Patient Authorization to Release Medical Information
Patient Authorization to Verbally Discuss Health Information

Patient Registration Form

Telehealth Informed Consent

Patient Forms (Spanish)

Autorización del Paciente para Obtener Información Médica
Autorización del Paciente para divulgar Información Médica
Autorización del Paciente para Discutir Verbalmente Información de Salud

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