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For Patients & Visitors

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Patient Forms

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  • Patient Relationship Agreement:  or
  • Authorization for Release of Protected Health Information:  or 
  • Opt-Out of Health Information Exchange:  or 
  • Request for Amendment to Health Information: English or Spanish
  • MyChart Proxy Forms
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General Information

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Payments and Billing

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Make a payment online, get information regarding insurance, and contact our billing office.

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Ïã¸Û6ºÏ¿ª½±½á¹û Contacts

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Physician Referrals