- Employer Authorization for Examination
- Financial Consent
- Patient History Form
- Patient Registration and Consent
- Medical Records Release
- Patient HIPAA Acknowledgement and Consent
Patient Rights & Responsibilities
We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.