Policies & Forms
Payment is due at the time services are rendered.
If you need to cancel or reschedule your appointment, please notify the office at least 24 hours in advance.
- HIPAA Privacy Notice [PDF]
- HIPAA Authorization for Release of Information [PDF] *
- HIPAA Authorization for Release of Information [online] *
- Patient Contact Information [PDF] *
- Patient Contact Information [online] *
- Nutrition Questionnaire [PDF]
- Nutrition Questionnaire [online]
- Food Log [PDF]
* Must be completed prior to scheduled appointment.