Forms

Patient Registration

To get started, please complete our Patient Registration form. This form includes sections for personal details such as your medical history, allergies and medications. By providing us with accurate and up-to-date information, you help us tailor our care to your specific needs.

Patient Registration Form

HIPAA Privacy Notice

Additionally, we have included a HIPAA Privacy Notice, which explains how we protect your confidential health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Your privacy is important to us, and this notice outlines your rights and our responsibilities when handling your protected health information.

HIPAA Privacy Notice

Waiver Forms

For certain procedures or treatments, we may require you to sign a Waiver form. This ensures that you have a clear understanding of the specific interventions involved, including any risks, benefits, alternatives, limitations and potential complications. By signing these waivers, you acknowledge your willingness to actively participate in the decision-making process and take responsibility for the choices you make regarding your healthcare.

Injection Waiver

Telemedicine Waiver

All Terms & Conditions

Our Terms & Conditions form provides important information outlining the terms and conditions that govern your use of our services and website. By accessing or using these services, you agree to comply with these terms and conditions. We encourage you to read this document to understand your rights and responsibilities as our patient.

EHS Terms & Conditions

Miscellaneous

We have also provided information regarding Hot Weather Precautions and Lifestyle Changes for your convenience.

Dietary and Lifestyle Patient Information Sheet

Hot Weather Precautions