COMMON FORMS FOR PATIENTS

ALONG WITH FREQUENTLY USED LINKS/DOCUMENTS

Telemedicine Consultation Consent Forms

Telemedicine is strongly recommended in the midst of the Coronavirus (COVID-19) outbreak as it helps limit potential exposure to those who may be sick.

Terms AND CONDITIONS of Service

Consent For Treatment, Disclosure of Information, and Information to Other Providers

Access Medical record forms

Forms needed to request your medical records, have medical records sent to another provider, and other similar services

Notice of Privacy and Practice

Forms needed to request your medical records, have medical records sent to another provider, and other similar services

Pay Your statement online

To pay online, you will need your account number (found on your statement), credit number, and the amount you wish to pay. Please allow two (2) business days for your account to reflect payment.

808-469-4982