New Patient Forms

Preparing for Your First Visit

In order to expedite the check-in process, please print these forms and bring them to your first appointment.

• Appointment Policy
• Insurance Policy
• Registration Form
• Parental Consent for Treatment of a Minor
• Annual Patient Notice
  
• Authorization to Release Healthcare Information
• Authorization for Use and Disclosure of Protected Health Information
• Notice of Privacy Practices for Catherine Holt
• Notice of Privacy Practices Acknowledgement

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