New Patient Complete Packet:

CHFMG New Patient Packet |
Additional Forms:

CHFMG Patient Registration Form |

Office Policies |

HIPAA Consent Form |

Lab and Diagnostic Imaging Form |

Record Release Form |

Notice of Privacy Practices |

Authorization to Treat Minor Form |

Minor Self Authorization Form |

Outgoing Medical Release |

Flu Vaccine Consent Form |
Cash Fee Schedule (Effective May 21, 2017)

CHFMG Cash Fee Schedule |