We look forward to your visit to our office! We require that you complete the following forms to assure that:
- You are familiar with our privacy practices
- We maintain an accurate medical history
- We have information on your other health providers who might need access to records from your visit
- We have accurate insurance information
Please see the table below containing the links and instructions for these forms which are required for new patients:
| Form (Click to download) | Instructions |
| HIPAA Notice of Privacy Practices | Print and retain for your records |
| HIPAA Summary of Notice of Privacy Practices | Print, sign, and bring to the office |
* You may type onto the starred UTMG Surgery forms on a computer and print them out with the information you added. However, these forms cannot be saved on the computer with your data on them.
