Patient Forms and Information

When you call our office to make an appointment, our staff will inform you which forms you will need to bring. Please print them out and complete them prior to your visit. They will be of great help to the doctor and staff.

	PATIENT FORMS AND INFORMATION-English
	Patient History Questionnaire
	Patient Registration and Information Form
	Office Policies
	Patient HIPPA Acknowledgement Form
	Release of Information Guaranty of Payment Form
	Confidential Patient Sleep Questionnaire (Only if you are being seen by Dr.Allatar's for a sleep issue)
	Consent to Release Medical Information
	PACIENTE FORMS E INFORMATION-Español
	Cuestionario del historial del paciente Patient History Questionnaire
	Forma paciente del registro y de la información
	Políticas de la oficina
	Reconocimiento de uso y divulgación de información de salud protegida
	Consentimento Para Divulgar Informacion Medica Confedencial
	Divulgacion de Informacion Garantia de Pago