Hospital Affiliation
Patient Registration Forms & Privacy Notices
Registration Forms
If you are a new patient, you may download and complete the forms below and bring them with you when you come for your appointment.
- Patient Registration
- Patient Consent
- New Patient Questionnaire
- Surgery Patient History
- Permission to Release Private Health Information
- Autorización para el suministro de información
Privacy Notices
A privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
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