Forms
Printable Office Forms
Prior to your appointment, the forms listed below can be printed for your convenience. Filling them out beforehand will save you time by not having to complete them during your appointment. If you elect not to fill out these forms ahead of time, please arrive 15 minutes prior to your scheduled time. (You may download Adobe Reader for free at www.adobe.com.)
Office Forms
- Newborn Patient Packet (PDF)
- Transfer Patient Packet (PDF)
- Authorization for Medical Treatment (PDF)
- Credit Card Authorization Form (PDF)
- Incoming Records Release Authorization Form (PDF)
- Outgoing Records Release Authorization Form (PDF)
- Over 18 Authorization (PDF)
- GPM Photo Authorization (PDF)
- Hospital HIE Consent Form (PDF)
Well Check Forms
Behavioral Health Forms
Notice of Privacy
Download PDFFor review purposes only - you do not need to bring this form with you.
Financial Policy
Download PDFClick below for our Financial Policy.
