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Forms

Welcome packet – This should be filled out by all new patients and all existing patients every 2 years. If you are not sure if you should fill this out, please print and bring it with you.

Adult Welcome Packet - English
Adult Welcome Packet - Spanish
Child Welcome Packet - English
Child Welcome Packet - Spanish

Health History Form  – This should be filled out every year for any patient not filling out a new welcome packet. If you are filling out the welcome packet or have filled this form out in the last 12 months at another visit you do not need to print and bring this with you.

Adult Health History Form - English
Adult Health History Form - Spanish
Child Health History Form - English
Child Health History Form - Spanish

Acknowledgment of Notice of Privacy Policy – Please review the policy, then print and sign the acknowledgment form and bring it to your appointment.

Notice of Privacy Policy - English
Notice of Privacy Policy - Spanish

Acknowledgment of Privacy Policy - English/Spanish