Important Documents & Forms
Here are some of the forms we require for our New Patients as well as forms needed for permission for treatment for a child unaccompanied by a parent.
For your convenience, at home you may download and complete the forms and bring them to your appointment.
Most of the documents found on this page require Adobe PDF Reader. You can get it here for free.
DOCUMENTS
- New Patient Registration Form
- Permission for Child other than parent
- Permission for Minor 16 or 17 w/o parent
- Notice of Privacy Policy
- Release of Medical Records - IN
- Release of Medical Records - OUT
- MHSAA Form