Patient Forms

If you have an appointment at one of our clinics, you will complete our Patient Interview Form when you arrive.

If you are having a procedure at one of our Ambulatory Surgical Centers (ASC), a nurse will ask you some health questions during the admission process.

Upon arrival, all patients will be asked to verify demographic information (address, date of birth, phone number, etc.) and sign paper forms/policies listed below.

HIPAA Consent Form — (view only)
HIPAA Privacy Policy — (view only)
Financial Policy — (view only)
Advance Directives — (view only)
Non-Discrimination Policy — (view only)
Surprise Billing Disclosure — (view only)

*The forms above require the free Adobe Acrobat Reader, if you do not have Acrobat or need the latest version, click here.