For your convenience, we have an online registration and medical history form accessible for you to print and complete at home. We know it can be frustrating to fill out paperwork in a doctor’s office, especially when you are in pain. We look forward to helping you start your journey back to better health!
New Patient Health History Form - Required
This notice describes how medical information about you may be used and disclosed and how you can get access to that information. Please review this notice carefully. This Practice is committed to maintaining the privacy of your protected health information (“PHI”), which includes information about your health condition and the care and treatment you receive from the Practice. The creation of a record detailing the care and services you receive helps this office to provide you with quality health care. This Notice details how your PHI may be used and disclosed to third parties. This Notice also details your rights regarding your PHI. The privacy of PHI in patient files will be protected when the files are taken to and from the Practice by placing the files in a box or briefcase and kept within the custody of a doctor or employee of the Practice authorized to remove the files from the Practice’s office. It may be necessary to take patient files to a facility where a patient is confined or to a patient’s home where the patient is to be examined or treated. If you have further questions, please contact the compliance officer, Suzanne Davis D.C.