Please click any PDF file link below to view/print various patient forms. This will help you save time when you visit us.
- Application for sliding fee with instructions - medical and dental
- Authorization for the Release of PHI for purposes other than treatment - medical and dental
- Notice of Privacy Practices - medical and dental
- Patient Data and Patient History - dental
- Patient Data and Patient History - medical
- Pediatric Authorization - medical and dental
- Release of Medical Records - medical and dental
- UCS Collection Form - medical and dental
