In order to help save time during your visit to our office, we have provided a copy of our new patient forms that can be filled out and printed in the comfort of your own home.
- New Patient Packet
- HIPAA Records Release
- Notice of Privacy
- LMG Annual Visit Letter Form for Medicare
- CMS Shared Savings Program ACO English
- CMS Shared Savings Program ACO Spanish
THERMIVA Consent Forms
- ThermiVA Patient Procedure Consent Form
- ThermiVA Patient Pre-Post Procedure Form
- ThermiVA Patient Questionaire
Bio-Identical Hormone Replacement Forms
