Forms and
Information
Yes! We are currently accepting
a limited number new patients. However, we are closed to new
patients who wish to use their 3rd party insurance plans. We are open
to new cash-paying patients. (Note that your insurance will generally
not reimburse our membership fees). To help you, we have created value
membership plans that start start
at just $3 per day. Please call our office to get started now!
FORMS
Medical Records Release
form (PDF)
This is an Authorization to Release Health Care Information. This form
allows us to get records from your previous physician or from a
specialist.
Notice of Privacy
Policies (PDF)
This notice explains how we help to protect your privacy.
Vaccine information from
the Centers for Disease Control (CDC)
Click
here to find the CDC's
recommended vaccine schedules for your age group.
You can find helpful CDC handouts describing each common vaccine by following this
link
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