Forms for Your Office Visit

Below you will find downloadable and printable versions of our office forms. All of these forms are required for new patients, and to make your office visit go as smoothly and quickly as possible, we have provided them for you here to print and fill out prior to your first visit. You can browse our website or contact us for any additional questions or find out more information on sleep disorders and the treatments we provide.

All forms below are .pdf files, clicking a link will open the corresponding form in your browser. You can save or print a form directly from your browser, or left-click on the link and select the "Save As" menu option.

Patient Information and Intake Form
Assignment of Benefits Form
HIPAA Privacy Notice
HIPAA Privacy Patient Signature


To find out more about HIPAA and how you are protected, you can watch the video below, visit their offical website or call our office. Because we take HIPAA compliance seriously, you can be assured that your information will always be secure and protected.

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