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 |