Patient Forms

For New Patients

Before your appointment, please print and complete all four forms in the New Patient Docs section below. Please arrive 15 minutes early with your completed forms. This will ensure timely visits for all. You must have your ID and insurance card(s) with you.

• New Patient Info Sheet
• Medical History Intake Form – Gender Diversity
• Medical History Intake Form
• Notice of Privacy Practices
• Financial Policy
• Communication Acknowledgement

Other Forms

• Photo Release Consent
• Release of Information Authorization
• Special Administrative Services Agreement
• Telemedicine Session Patient Authorization and Consent Form