In order to help save you time on your first visit I have included these patient information forms that you can download, print and fill out at home before you come in.
| Attachment | Size |
|---|---|
 AIC Adult Patient Checklist.pdf |
174.96 KB |
|
AIC Authorization to Disclose Health Information.pdf |
44.32 KB |
|
AIC Patient History Form.pdf |
283.89 KB |
|
AIC Patient Info Form.pdf |
33.65 KB |
|
AIC Patient Rights And Responsibilities (Consent to Treat).pdf |
30.07 KB |
|
AIC Previous Medications.pdf |
25.14 KB |
|
AIC Privacy Notice.pdf |
298.91 KB |
|
AIC Privacy Notice Acknowledgement.pdf |
12.51 KB |
|
OHP Pt Rights and Responsibilities.pdf |
29.63 KB |