Forms & Policies
Are you making a visit to our clinic?
Here are some forms you may need:
NOTICE OF PRIVACY PRACTICES
PATIENT DEMOGRAPHICS FORM
MEDICAL RECORDS REQUEST
NOTICE OF NON-DISCRIMINATION
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
Referral Form
Financial Policy
GOOD FAITH ESTIMATE
BREATHING TEST INSTRUCTIONS
CT SCAN INSTRUCTIONS
6-MINUTE WALK TEST INSTRUCTIONS
Masking Policy
We will continue to follow Bryan’s Masking policy throughout cold & flu season, requiring masks for staff and patients in all areas.