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Authorization for Release of Medical Records

Medical Consent for Treatment & Disclosure of Protected Health Information

Medical History

Notice of Privacy Practices

Patient Demographics

Prescription Refill Process

Patient Rights & Responsibilities

Health Information Privacy Complaint

Complete New Patient Paperwork Online

Are You an Existing Member or Current Patient?

If you are experiencing  a medical emergency, please call 911 immediately or go to the nearest emergency room. 

A representative will respond within 1-2 business days.