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Forms and Notices​

Information forms are available for download below. Please fill these out in advance of your appointment so that we can devote the full allotted time to evaluation and treatment.

Forms

New Patient Form (To be filled out before initiation of treatment.)


Consent to Treat (To be signed before initiation of treatment.)


Medicare Patient Information Form (To be filled out by Medicare patients only.)

Notices​

Financial Policy


Privacy Practices


PT Board Notice


Direct Access Notice (For patients not previously seen by physician.)

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