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Patient Forms To submit online, complete the Patient Information form and the Acknowledgement/Consent form. Remember at the end of your registration to click on the word submit. This will go directly to our office through our email. If you do not wish to submit your form online, please download the forms. Privacy Notice - View or print our Notice of Privacy Practices Change of Information - If you have had a change of address, employment, or insurance coverage since your last visit, please complete the patient information form. (Note: You will need Adobe Acrobat Reader software in order to open these forms.)