Accessibility Tools

Telemedicine Visits Available

Please download, print and fill out these forms, and bring them with you to your first appointment. For continuing patients, if your personal or insurance information changes, please fill out a new Patient Information form and bring to your next appointment.

get adobe readerClick on any icon above to download an Adobe Reader® document of that form. If you don't have Adobe Reader on your computer, click here for a free download.

New Patient Forms
New Patient Forms
Records Request
Records Request
Disclosure Authorization
Disclosure Authorization
SHENT PrivacyPractices
Notice of Privacy Practices