Patient Forms

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For your convenience, clicking on the links below will display a printable PDF file that can be filled out online and printed or downloaded, filled out and printed prior to your visit. (Requires free Adobe Acrobat Reader application)

Medical Records Release Form

Patient Intake-Demographic

Patient Intake-Reason for Visit

Patient Intake-HIPAA Release Form

DOT Physical Policy

DOT-Epworth Sleepiness Scale

For Your Information

HIPAA - Notice of Privacy Practices, English

HIPAA - Notice of Privacy Practices, Spanish