Health History & Privacy Policy Forms

Please download and fill-out our Health History and Provacy Forms below. After you have completed the form, please make sure to bring it on your first visit to our office. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

• Download Health History Form

Our Privacy Policy

We include the following form, “ Notice of Privacy Practices”, as required by federal law.

• Click here to download our Privacy Policy (HIPAA).

Technical Note:

You need Adobe Acrobat Reader to view our form. Please download the free Acrobat Reader from Adobe's web site if it is not already installed on your system.