When visiting the clinic for the first time, if possible please fill out the following downloadable forms by clicking the link below, and as appropriate, please bring:
- A copy of your driver’s license to verify your signature and your date of birth
- Referral Form
- Current Insurance Card
- Co-Payment
Downloadable Patient Information Forms
Patient Information Sheet
Consent for Care and Treatment – at Kirkland Clinic Location
Consent for Care and Treatment – at Novelty Hill Clinic Location
Consent to Use and/or Disclosure of Patient Information
Patient Medical History
Notice of Privacy Practice
