Patient Forms

Below are commonly requested patient forms and documents. You can download a copy by clicking on the document you need.

• No-Show Policy
• No Show Policy - Spanish
• Release of Records - Medical/Dental
• Release of Records - Behavioral Health
• 4506-T Form Request for Transcript of Tax Return
• Notice of Privacy Practice
• Patient Rights and Responsibilities
• Patient Rights and Responsibilities Spanish
• Sliding Fee Application 2026 - 2027 English
• Sliding Fee Application 2026-2027 Spanish
• Sliding Fee Information Sheet
• HTF
• Medicare Beneficiary Notification Letter
• Patient Financial Rights and Responsibilities
• Patient Financial Rights and Responsibilities - Spanish