Registration Paperwork

Save time on the day of your appointment by filling out your paperwork ahead of time.  Simply click on the links below to download the forms.

New Patient Intake Form

Alternate Caregiver Consent Form

HIPAA Consent

Terms of Agreement

Self-Pay Policy Agreement

 

You may also use our new online writable bundled forms:

New Patient Intake Forms - Writable

Fill out the forms that are applicable and press the Submit Form button* on the last page to send.  

*Compatible with most internet browsers.  Must have Adobe Reader 8 or later.  Pressing the Submit Form button will prompt a Send Email box which requires your email address.  If you are not prompted to do this, your form has not been sent.  Please save a copy of the form and then send the copy to patient@handcentersa.com.