Forms & Insurance Information

New Patient Forms

Please print and fill out the following forms prior to your initial appointment with Dr. Grant.

• Demographic
• Medical Release Form
• Missed Appointment Policy
• Consent Form
• Confidentiality Form

Patient Information Forms:

Listed below are our office policies and procedures, patient rights and responsibilities, credit card authorization form, and our HIPPA form.

• HIPPA
• Office Policies & Procedures for Our Patients
• Patient Rights & Responsibilities
• Credit Card Authoriztion Form