Family Focused Healthcare
Forms

Complete this form to transfer your records from a previous provider to our office. Please allow 30 to 60 days for record transfer.

Release of Information Form
General Consent to Treat 
Notice of Privacy Practices
New Patient Form

Release of Information

Consent to Treat & Bill Insurance

This form needs to be signed annually.

Notice of Privacy Practices


New Patient Health History

If you are a new patient to our practice, please complete this form before your first appointment.

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