New Patient Complete Packet:
| chfmg_registration_packet__1-2021_.docx |
Additional Forms:
| chfmg_registration_form_revised_1-19-21.docx |
| 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)
| cash_fee_schedule__4-21-21_.pdf |