If you're a new patient, please complete the following forms and bring them to your initial appointment.
- New Patient Form
- Office Policy Form
- Medical Privacy Notice
- HIPAA Disclosure Authorization
- Courtesy Appointment Reminder Form
- HIPAA Notice of Privacy Practices (for review only)
If you would like Dr. Andersen to coordinate care with another provider (for example: your psychiatrist, primary care physician, etc.), complete this form to authorize the release of your personal health information.
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