TRANSLATE OUR SITE

Client Forms

Below you will find downloadable copies of all new patient/client registration forms. To save time, please feel free to download and fill out the information below to bring with you to your scheduled appointment. 

 

Patient Registration Forms - 

Patient Registration ENG.pdf

Patient Registration SPA.pdf

Patient Registration POR.pdf

 

General Consent Forms - 

General Consent for Treatment ENG.pdf

General Consent for Treatment SPA.pdf

General Consent for Treatment POR.pdf

 

Notice of Privacy Practices Consent - 

SW Privacy Practice ENG.pdf 

SW Privacy Practice SPA.pdf

SW Privacy Practice POR.pdf

 

Assessment of Learning Needs Forms - 

Assessment of Learning Needs - ENG:SPA.pdf

Assessment of Learning Needs POR.pdf

 

E-Consult Forms - 

EConsult Patient Consent ENG.pdf 

EConsult Patient Consent SPA.pdf

EConsult Patient Consent POR.pdf

 

Provider Listing - 

Provider Listing.jpg