Downloadable Forms:
- New Patient Information Form - English
- New Patient Information Form - Spanish
- Authorization to Release Protected Health Information-English
- Authorization to Release Protected Health Information-Spanish
- HIPAA Privacy PHI Disclosure Form - English
- HIPAA Privacy PHI Disclosure_Form - Spanish
- Notice of Privacy Practices Pamphlet
- Consent to Treat (Adult&Minor) English
- Consent to Treat (Adult&Minor) Spanish
- New Patient Medical History Form (Minor)
- Dental Health History Form
- Patient-Centered Medical Home (PCMH)
- Statement of Income- English
- Statement of Income- Spanish
- Patient Portal Handout
- Advanced Directives Documents
- Sliding Fee Household Verification English
- Sliding Fee Household Verification Spanish
- SHARE Patient Flyer - English
- SHARE Patient Flyer - Spanish
- SHARE Opt-Out Form - English
- SHARE Opt-Out Form - Spanish
- Patient Rights and Responsibilities
- ROI Third Party Authorization Release- English
- ROI Third Party Authorization Release- Spanish
- Vaccine Information Statement
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