New Patient Forms
*** New patients: please complete and sign the Registration form & HIPAA signature page and bring them to your first appointment. Thank you. ***
Notice of Privacy Practices
Release of Records Forms
Authorization to release records from LH[...]
Adobe Acrobat document [107.2 KB]
To have records transferred TO our office, please fill out this form and either present it to the facility currently holding the records, or fax, mail, or bring this form to our office.
Authorization request for records to be [...]
Adobe Acrobat document [101.1 KB]
Medicare Annual Wellness Visit Questionnaire
If you are on Medicare and have an upcoming Annual Wellness visit, please complete this form and bring it with you to your appointment.
Adobe Acrobat document [109.1 KB]
Information on Advance Directives and Advance Care Planning