PATIENT FORMS Once forms are completed, send via a patient portal message or bring with you to your appointment.Click on the form title to download the appropriate form. Disclosure Authorization and Acknowledgement Click to download the form. Health Authorization for Consent to Treatment Click to download the form. Release of Information Click to download the form. Financial Policy Click to download the form. HIPAA Notice of Privacy Practice Click to download the form. HIPAA Notice of Privacy Practice Acknowledgement Click to download the form. HIPAA Media Release Click to download the form. Registration Information Form Click to download the form. Move like you were meant to. Request an appointment