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Patient Resources

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Useful Documents and Resources

New Patient Registration (English)
New Patient Registration (Tagalog)
New Patient Registration (Spanish)
Release of Information Form (English)
Release of Information Form (Tagalog)
Sliding Fee Discount Program Form
Sliding Scale Discount Schedule
Minor Consent to Treatment Form
Telehealth Consent Form
Price Transparency
Good Faith Estimate (GFE) Notice
Annual Income & Household Size Notice
MyChart Refills Information
MyChart Payments Information
Privacy Practices (English)
Privacy Practices (Tagalog)
Privacy Practices (Spanish)
Our Services
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Payment Programs
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Helpful Medical Links
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