Complete your patient forms ahead of time!

Save time by clicking the links below, print the PDF, complete your patient forms, and bring them with you to your appointment!

Protected Health Information Form ENGLISH Protected Health Information Form SPANISH Patient Intake Form ENGLISH Patient Intake Form SPANISH

Need a copy of your medical records? Fill out the forms online HERE:

Medical Records Release

You can also download these forms on the My Health Record Patient Portal.

Haven’t yet registered for My Health Record Patient Portal?
Register Today! Contact us at (702) 732-1290 to register today.