Patient Satisfaction We continue to strive for patient and medical excellence. Your feedback is a vital component that helps us improve our care. Patient Survey Patient Information Form We like to get to know you; this helps speed up the process. Patient History HIPAA Your health information is yours, and we do everything we can to protect it. HIPAA Patient Consent Form Authorization For Release of Medical Records Fill out this form before coming in to speed up the check-in process and allow us to see you as soon as possible. Medical Record Authorization Form Patient/Client Rights and Responsibilities Fill out this form before coming in to speed up the check-in process and allow us to see you as soon as possible. Patient/client Rights And Responsibilities Financial Policies Fill out this form before coming in to speed up the check-in process and allow us to see you as soon as possible. Patient History Patient Consent Form Fill out this form before coming in to speed up the check-in process and allow us to see you as soon as possible. Patient Consent Form Cancellation Policy Prior to canceling an appointment, please review our cancellation policies. Cancellation Policy