Patient Resources

 

Patient Forms

HIPAA ACKNOWLEDGMENT AND CONSENT FORM
Authorization to Disclose Protected Health Information
Authorization to Disclose Protected Health Information - From Cizik
Authorization to Disclose Protected Health Information - from Hope

Financial Options

  • Cash 

  • Check (returned check will incur a fee of $35)

  • All major credit cards 

  • Healthcare financing through Care Credit

Apply to Care Credit
How Does Care Credit Work?

Insurance Options

  • We accept all major commercial insurance!

  • Medicare

  • Medicaid


Click here to read our HIPAA Notice of Privacy Practices