Please use these links ONLY if directed by office staff – not all forms apply to all patients and are used AFTER registering. These links will either take you to an online form or a form to print and complete.
- DPC Adult New Patient Packet
- DPC Pediatric New Patient Packet
- Concierge New Patient Packet
- Demographics New Non-member Medical Patients
- Release of Health Information
- Telehealth Agreement
- Advanced Consent to Treat Minors
- Hint e-PHI (Authorization for sending electronic Protected Health Information)
For Your Reference
Psychiatric Intake Form
Please download, print and bring the appropriate forms to your appointment.