Downloadable Forms:
- New Patient Information Form - English
- New Patient Information Form - Spanish
- Authorization to Release Protected Health Information
- Medication Authorization Form
- HIPAA - English
- HIPAA - Spanish
- Notice of Privacy Practices Pamphlet
- Consent to Treatment (Adult)
- Consent to Treat a Minor and Authorization Form - English
- Consent to Treat A Minor and Authorization Form - Spanish
- New Patient Medical History Form (Minor)
- Cancellation and No Show Patient Form
- Consent for TeleHealth Services
- Dental Health History Form
- Patient-Centered Medical Home (PCMH)
- Statement of Income
- Patient Portal Handout
- Advanced Directives Documents
- Sliding Fee Household Verification - English & Spanish
- SHARE Patient Flyer - English
- SHARE Patient Flyer - Spanish
- SHARE Opt-Out Form - English
- SHARE Opt-Out Form - Spanish
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