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Health History Form Options

Please fill out a Health History Form and bring the completed form with you to your appointment – alternatively, you could go into our “Patient Portal” and fill out the form there.  Please see the instructions for both options here below: 

1)  Print out your Health History Form using the following link and bring the completed form with you when you come for your appointment: Health History


2)   Complete the Health History Form electronically through Patient Portal Log-in.

For information about the Portal Page click here      

The following forms are for informational purposes and will be signed electronically in the office at the time of your appointment:

Notice of Privacy Practices

Consent & Authorization/Financial

Communication Consent

Medicare Authorization

Non-Par Insurance Authorization

Participating Insurance Authorization

Record Release Form