Patient Forms For your convenience, our new patient forms are available to print at any time. Please bring your completed forms with you to our office at the time of your visit.NEW PATIENT FormsPatient RegistrationMedical HistoryPrivacy (HIPAA) PracticeNotice of Privacy (HIPAA) PracticesAuthorization for Release of Medical RecordFinancial PolicyImmTrac2 RegistryAges & Stages Questionnaires2-Month Questionnaire4-Month Questionnaire6-Month Questionnaire9-Month Questionnaire12-Month Questionnaire16-Month Questionnaire18-Month Questionnaire24-Month Questionnaire36-Month Questionnaire48-Month Questionnaire60-Month QuestionnaireMCHAT (18 & 24 Months)Note: To view the forms listed above, you will need Adobe Reader or other PDF reader. You may download Adobe Reader for free at www.adobe.com.