Patient Forms
If you are a new patient to our office, the attached file contains our new patient bundle with
forms that will need to be filled out when you arrive at our office. Filling them out electronically and emailing them to eastonperio1@gmail.com or printing them, filling them out and
bringing them with you will allow us to attend to your medical needs more quickly than completing them on your
arrival. Additionally, attached is a copy of the HIPAA Notice of Privacy Practices. Please feel free to read over this information and print it out for your personal files. Thank you and please call our office if you have any questions at all.
NEW PATIENT PAPERWORKHIPAA Notice of Privacy Practices