| New Patient Paperwork | |
| Ambient Listening Scribe Consent Form |
Medical Records
Medical Records are provided through MediCopy. Patients can request copies of their medical records at no cost, but delivery fees apply for postage. Please provide an email address on the authorization to expedite the process and delivery method. Records sent via email or to another provider are complimentary. Requests are completed within two business days after receipt by MediCopy.
Complete Authorization for Medical Records Online
| Authorization for Medical Records-Paper Form |
Disability/FMLA Forms
Disability forms are also provided through MediCopy. Forms are $30 for the first form and $15 for each additional form turned in at the same time. After payment is received, Disability/FMLA forms are completed and sent to the requestor within three business days.
Complete Disability/FMLA Intake Form and Authorization Online
| Disability/FMLA Intake and Authorization-Paper Form |