Patient Forms
Covid-19 Forms
| Name | Download File |
|---|---|
| Johnson & Johnson Vaccine Information for Patients and Caregivers- English: | DOWNLOAD |
| Johnson & Johnson Vaccine Information for Patients and Caregivers- Spanish: | DESCARGAR |
| Moderna Vaccine Information for Patients and Caregivers- English | DOWNLOAD |
| Moderna Vaccine Information for Patients and Caregivers- Spanish | DESCARGAR |
| Pfizer Vaccine Information for Patients and Caregivers- English: | DOWNLOAD |
| Pfizer Vaccine Information Sheet for Patients and Caregivers- Spanish: | DESCARGAR |
| How to enroll in V-Safe (text based after-vaccination check-ins from the CDC) | DOWNLOAD |
| How to enroll in V-Safe (Registros posteriores a la vacunación basados en texto de los CDC) | DESCARGAR |
General Forms
Below are downloadable forms. Some are single PDF’s and others are Compressed Zip Files that contain more than one document.
| Name | Download File |
|---|---|
| HIPAA (PDF) | DOWNLOAD |
| Release of Medical Information (PDF) | DOWNLOAD |
| Advanced Consent to Treat Minors (PDF) | DOWNLOAD |
| Patient Assistance Plan Application (Zip File) | DOWNLOAD |
| Sports Physical WA (PDF) | DOWNLOAD |
| Sports Physical OR (PDF) | DOWNLOAD |
| New Patient Packet-Minor (Zip file) | DOWNLOAD |
| New Patient Packet-Adult (Zip file) | DOWNLOAD |
| Medicare Annual Wellness (PDF) | DOWNLOAD |
| Notice of Privacy Practices | DOWNLOAD |
| Aviso de Prácticas de Privacidad | DESCARGAR |