HIPAA Compliant Patient Records Release Authorization Form
For your convenience we have provided a record release form that can be downloaded and printed. If you have any questions, please contact our office at 304-599-8790.
Records Release Authorization Form (PDF)
Records Release Authorization Form (DOC)
Health History Form
If you are new to our practice and have not received a health history form please download, print, and complete this medical history form and bring it to your appointment.
Health History Form (PDF)
Health History Form (DOC)