Forms

 Patient Registration Form:

Please print this form and bring it with you to your initial visit. I can also give you a copy so that you can fill out before your first visit. You will need your insurance card, if you are using insurance.

Policy Statement:

Please read this statement.  On the Registration Form, I will ask you to acknowledge that you have read my policy.  You do not need to print out this form.

Patient Privacy Notice:

Please look this over. You do not need to print it out.
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Richard Isaac,
Mar 19, 2014, 9:41 AM
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Richard Isaac,
Dec 18, 2013, 10:40 AM
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Richard Isaac,
Dec 31, 2017, 10:30 AM