Forms & Policies NEW PATIENT PACKET (Printable) Expand Please print and complete all forms and then bring them to your appointment. New Patient Registration Form Request for Release of Medical Records e-Prescribe Consent Notice of Privacy Practices Patient Financial Responsibility Statement No-Show/Missed Appointment Policy Consent for Treatment (Complete only if needed) NEW PATIENT PACKET (e-Forms) Expand COMPLETE and SUBMIT ALL FORMS New Patient Registration e-Prescribing Consent Notice of Privacy Practices Patient Financial Responsibility Statement No-Show/Missed Appointment Policy Consent for Treatment (Complete only if needed) ESTABLISHED PATIENT INFORMATION UPDATE Expand Established Patient Information Update (printable) Established Patient Information Update (e-Form) REQUEST FOR RELEASE OF MEDICAL RECORDS Expand Request for Release of Medical Records (printable) e-Form is not available for this form. e-PRESCRIBING CONSENT Expand e-Prescribing Consent (printable) e-Prescribing Consent (e-Form) NOTICE OF PRIVACY PRACTICES Expand Notice of Privacy Practices (printable) Notice of Privacy Practices (e-Form) PATIENT FINANCIAL RESPONSIBILITY STATEMENT Expand Patient Financial Responsibility Statement (printable) Patient Financial Responsibility Statement (e-Form) NO-SHOW/MISSED APPOINTMENT POLICY Expand No-Show/Missed Appointment Policy (printable) No-Show/Missed Appointment Policy (e-form) CONSENT FOR TREATMENT Expand Consent for Treatment (printable) Consent for Treatment (e-Form)