Please fill out these documents and bring the completed forms with you to your first appointment.
Complete estos documentos y traiga los formularios completos a su primera cita.
New Patient Forms
Formulario de
Paciente Nuevo
Minor New Patient Forms
Formularios para Pacientes Nuevos Menores
Mental Health Wellness Referral Forms
Good Faith Estimate
- Good Faith Availability Statement
- Declaración de disponibilidad estimada de buena fe
- Good Faith Estimate Form Medical
- Formulario de estimación de buena fe Médico
- Good Faith Estimate Form Behavioral Health
- Formulario de estimación de buena fe Salud conductual
- Good Faith Estimate Form Dental
- Formulario de estimación de buena fe Dental
Request Medical Records
HealthMark Group is a trusted provider that helps practices like ours manage the release of medical records. We chose to partner with HealthMark to streamline the process and get you your records faster and more efficiently.
How do I request my medical records?
Once you enter your email, you’ll receive an email with HealthMark to log in (no username or password required!). Click on the “submit request” button and follow the prompts from there. You’ll receive an email as soon as your records are available for download.
Nope! HealthMark’s Request Manager uses email verification and secure links to get your records quickly, efficiently, and
securely – without yet another username and password to remember!
Most record requests are processed within 8 business hours. So, one or two business days after you submit your request, your records will be delivered electronically – right to your inbox.
You can see the status of your request any time inside Request Manager. If you have any other questions, feel free to reach out to HealthMark at 800-659-4035 or status@healthmark-group.com.