Our New Patient forms collect important information about you and your overall health. The forms include patient information, our financial policy, and our privacy and disclosure. Signing the patient information form authorizes your insurance company to pay us their designated portion of fees for services provided. Our financial policy notes that all co-payments are due at the time of treatment. Payments due must be paid in cash, approved check, credit card, or CareCredit. Our privacy and disclosure form is legally required and outlines how and to whom your health information may be released under HIPAA.