Forms & Policies
We provide convenient access to our forms and policies via pdf download.
- New Patient Medical Information
- Patient Demographic Information
- Notice of Privacy Practices
- Authorization To Use and Disclose Protected Health Information (HIPAA)
- Written Acknowledgement of Receipt of HIPAA Notice of Privacy Practices
- Credit Card Authorization
- Request For Medical Records To Be Sent To Sentinel Primary Care
- Request For Sentinel Primary Care To Release Medical Records
- Complaint Form
Monday – Friday, 8am-5pm
Closed on these holidays:
New Years Day
Note: If a holiday falls on a Saturday then we will be closed on the Friday before, if the holiday falls on a Sunday then we will be closed on the Monday following.
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