Completing Medical Forms

We are happy to complete forms such as marriage license, school/camp, adoptions, disability and FMLA. Due to the time and medical expertise involved, we charge a fee of $30.00 per form which will be collected prior to releasing the form. Please allow us 7 business days to complete your form and we ask that you plan accordingly. It will be your responsibility to complete your portion of the form and return it to the appropriate institution.

Forms (pdf)

• • • • Patient Information Form
      • Medical Records Release Form: Please complete and send this form to your previous health care provider. This helps us gather your records and will make your visit more efficient. After we receive request it takes 10-15 business days to process.
        
      • Notice of Privacy Policies
      • Financial Policy

*To read and print forms, use the free and easy-to-use Adobe Acrobat Reader. Click here to download.