A. Office Policy Packet

B. New Adult Patient Forms Packet (6, 4, 3, 2, 1)

C. New Pediatric Patient Forms Packet (7, 5, 22, 3, 2, 1)

D. Adult Health History Update 

E. Pediatric Health History Update 

1. Notice of Privacy Practices

2. Consent to Use or Disclose Information

3. Practice Financial Policies

4. Adult Health History

5. Pediatric Health History

6. Adult Registration

7. Pediatric Registration

8. Medical Records Release Form

9. Medicare Annual Wellness Visit

10. NC Childcare / Daycare Medical Form

11. Parent Evaluation Form

12. Teacher Evaluation Form

14. Teacher Follow Up

15. Request For Restriction Of Uses And Disclosure Of PHI

16. Preventative Services Coverage Notice

17.  Payment Plan Agreement 

18. Disclosure and Consent Form

19. Advanced Beneficiary Notice Of Non-Coverage

20. Minor Consent To Treat

21. Vaccination Policy