Patient Registration Forms & Privacy Notices
If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.
- Medical Records Release
- Patient Consent and Registration
- Consent for Treatment of a Minor
- Patient HIPAA Acknowledgement and Consent
Please complete one of the forms below
- Pediatric Health History - for patients 16 years of age and younger (not required by Dr. Turner, Dr. Spellings, Dr. Sypniewski)
- Adult Health History - for patients 17 years of age or older (not required by Dr. Turner, Dr. Spellings, Dr. Sypniewski)
Patient Rights & Responsibilities
We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.