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General Patient Forms

Please download and save all editable PDFs to your computer before filling out.

New Patient History Form

Health History Questionnaire

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement

Consent for Care

Financial Responsibility Agreement

Synagis Consent Form

HIPAA Portal Release for Patients 18 and Older

Please fill out this form if you are 18+ years old and would like to grant portal access to a parent/guardian.