A. Office Policy Packet

B. NP Adult Packet (6, 4, A)

C. NP Peds Packet (7, 5, 22, A)

D. Account Updates - Adult 

E. Account Updates - Peds 

F. Polices / Wellness Notice 

1. Notice of Privacy Practices

2. HIPPA Consent

3. Practice Financial Policies

4. Adult Health History

5. Pediatric Health History

6. Adult Registration

7. Pediatric Registration

8. Medical Records Release Form

9. Preventative Services Coverage Notice

10. Minor Consent To Treat

11. Request For Restriction Of Uses And Disclosure Of PHI

21. Vaccination Policy

22. Disclosure and Consent Form

23. Advanced Beneficiary Notice Of Non-Coverage