Patient Forms:
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
Patient Controlled Substance Contract |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
HIPAA Consent Form |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
Lab and Diagnostic Imaging Form |
![](http://www.weebly.com/weebly/images/file_icons/rtf.png)
record_release_form.docx |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
Notice of Privacy Practices |
![](http://www.weebly.com/weebly/images/file_icons/rtf.png)
Authorization to Treat Minor Form |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
Minor Self Authorization Form |
![](http://www.weebly.com/weebly/images/file_icons/rtf.png)
Outgoing Medical Release |
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
Flu Vaccine Consent Form |
Cash Fee Schedule (Effective May 21, 2017)
![](http://www.weebly.com/weebly/images/file_icons/pdf.png)
cash_fee_schedule__4-21-21_.pdf |