When you make your appointment, you have an option to complete these forms through your invitation to the patient portal; if you prefer to not use the patient portal, these are the key medical forms you will be required to complete upon your initial visit.
- Demographic, Medical History & Privacy Receipt
(New Patient Registration Forms)
- HIPAA Notice of Privacy
- Receipt of Privacy Practices
- Consent to Release Medical & Billing Information
- Authorization to Release Information
Please complete these forms and bring them with you to your appointment, or to speed up your check-in process, you may email them to us prior to your appointment to firstname.lastname@example.org or fax them to (402) 466-0458.