Controlled Substance Agreement
HIPAA AUTHORIZATION FORM
Patient Financial Responsibility
Consent for Medical Treatment
Patient Demographic Form
The Patient-Provider Partnership Agreement
Monday 8:00 am - 6:00 pm 8:00 am to 6:00 pm Tuesday 8:00 am - 4:00 pm 8:00 am to 4:00 pm Wednesday 8:00 am - 4:00 pm 8:00 am to 4:00 pm Thursday 8:00 am - 4:00 pm 8:00 am to 4:00 pm Friday 8:00 am - 12:00 pm 8:00 am to 12:00 pm Saturday Closed Closed Sunday Closed Closed
586-315-2393
