top of page
  • Facebook
(517) 423-2639

New Patient Form

Hippa Form

A HIPAA authorization form gives covered entities permission to use protected health information for purposes of treatment, payment, or health care operations.

 New patients must complete, a patient registration form that is used to gather basic information about the patients and their medical history.

Forms

New patients can save time during their first appointment by completing forms prior to their visit. Simply download and print out the 2 forms below

bottom of page