
Forms and Links
Privacy Practices & HIPAA Form
This 6-page PDF document (including one-page form) is a required "notice of privacy practices" (NPP) in keeping with Federal HIPAA (Health Insurance Portability and Accountability Act, 1996) requirements. Click to download, print and fill out by hand.
Download
Privacy Practices & HIPAA Form
Initial Patient Information Form
Two-page form in PDF format: Name, address, phone, Emergency Contact Information, Receipt of Notice of Privacy Practices. Click to download, print and fill out by hand.
Download
Initial Patient Information Form
Medical Billing Information Form
One-page form in MS Word format: Primary Care Provider, emergency contact info, insurance information.Download
Medical Billing Information Form,
print and fill out by hand.
Medication Information
Information on specific medications, side effects, and contraindications. Also a link to a patient assistance program offering aid for people that need financial help paying for their medications. |
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Recommended Chiropractors
Here is a list of local chiropractors that are recommended by this office. | |