Important Documents and Forms

We want to ensure that your privacy is protected, and your wellness is easy for you to manage. These documents and forms are important. Please take a few minutes to read them, and ask us about anything you do not understand on your first visit.

 

new-patient-registration

MyClinic New Patient Registration Form

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myclinic-release-medical-records

MyClinic Medical Records Release Form

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myclinic-financial-policy

MyClinic Financial Policy

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pf-1000-notice-of-privacy

MyClinic Financial and Privacy Practices

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pf-3000-std-authorization-disclosure

PF 3000 Standard Authorization – Use & Disclosure of Protected Health Information

Download Now