New patients must complete a few forms for our records.
- HIPAA Patient Consent
- Financial Agreement
- Agreement to be Treated
- Assignment of Benefits
- Credit Card Authorization
After becoming a patient we send you a link to log in to the Electronic Medical Record system (Power2Patient). Once you receive this link, you may complete the questionnaire.
Your completed forms can be emailed to us at derek@conciergecarenp.com or brought to your appointment.