We're here for you.....
In an effort to make things a little easier we now have our forms available online.
There is no need to download. Simply click on a link below, type in the fields provided, print it out and bring them with you to your appointment. It's that easy!
If you aren't sure which form you need to complete please feel free to give us a call.
Forms
(Click on the Word or PDF Icon to open form)
Document Title
|
Word |
PDF |
Authorization for Release Obtaining Information
|
 |
|
Family and Physician Release
|
 |
|
Fee Assessment
|
|
 |
Insurance Benefits Assignment
|
 |
|
Privacy Practices Notice
|
 |
|
Privacy Practices Notice
(Spanish - versión en español)
|
 |
|
Receipt of Privacy Practices
|
 |
|
Registration
|
 |
|
TCOOMMI Registration
|
 |
|
Notice Concerning Complaints
|
|
 |