Consent to Share Medical Information Form
If you download them before you come in, you can fill them out before your appointment, saving you time at the office.
- A $50 No Show fee will be charged if you fail to show up for an appointment without calling to cancel or reschedule.
- Payment of Deductibles and Co-pays will be collected at the time of the appointment.
In order to obtain records from your previous provider, complete the Release of Information form and submit to that office.