Patient Forms and Documents

These forms and documents below provide information in several areas including our privacy practices and our PHI policy.

These forms may be completed using your computer and printed

• Demographic Form
• Health History Form

• NASB-Notice-of-Privacy-Practices
• NASB Insurance Waiver
• NASB PHI Disclosure
• Demographic Form

If you prefer completing this information at the office, please arrive one-half hour prior to your scheduled appointment to allow enough time. If you have any questions, please contact our office.