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 The
New Patient Form is in Adobe Acrobat (PDF) format. If you
do not have Acrobat Reader, get a free copy by clicking on
the link below. The Acknowledgement form does not require
the reader and will open in a new browser window.
Please print the New Patient Form, fill it out, and bring
it with you for your appointment. Also, after reading the
Notice of Privacy Practices, print
the Acknowledgement form below, sign it, and bring it in,
too.
  Child
Health History (Acrobat PDF form)
Adult
Health History (Acrobat PDF form)
Acknowledgement
of Receipt of Notice of Privacy Practices (web page)
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