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New patient

Please arrive on time and bring your photo ID and insurance cards.

Please read our COVID-19 protocol.

 

To expedite your registration and reduce waiting time, please download, complete and bring these forms to your appointment

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1.  HIPPA compliance form

2.  Patient registration form

3.  Patient History form

4.  Patient responsibility form

Download forms

HIPPA compliance form 

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Patient Registration form (English)

Patient Registration form (Vietnamese)

Patient Registration form (Chinese)

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Medical History form (English)

Medical History form (Vietnamese)

Medical History form (Chinese)

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Patient Responsibility form (English)

Patient Responsibility form (Vietnamese)

Patient Responsibility form (Chinese)

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