Patient Forms
| Adult Patient Form |
To save you time at the office, please print out the above Adult Patient Form, fill in the blanks and bring it with you at your appointment time.
| Child Patient Form |
To save you time at the office, please print out the above Infant/Child Patient Form, fill in the blanks and bring it with you at your appointment time.
| notice_of_privacy_practices_cfec.pdf |
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
| financial_agreement.pdf |
Please fill out this Financial Agreement and bring with you to your appointment.
| good_faith_estimate_announcement.pdf |
If you are not using your insurance benefits or you do not have insurance, please review this notice.
