Patient Forms
Want to save time during your visit with us? Please print and fill out the New Patient Registration Form and bring it with you to your first appointment.
Don't forget to bring your insurance information with you
In order to register and treat you promptly, we request that our patients bring their current insurance information with them for their first visit and whenever there is a change in coverage.
New Patient Registration Form:
Please complete this form and bring it to your first appointment.
riverview_new_client_form.pdf
Adobe Acrobat document [1.3 MB]
riverview_new_client_form.pdf
Adobe Acrobat document [1.3 MB]
Release of Information Form:
This form allows us to communicate with other doctors or providers.
Patient_Release_of_Information_Form_rps.[...]
Adobe Acrobat document [94.4 KB]
Patient_Release_of_Information_Form_rps.[...]
Adobe Acrobat document [94.4 KB]
"HIPPA" Form:
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
riverview_hippa_form.pdf
Adobe Acrobat document [4.5 MB]
riverview_hippa_form.pdf
Adobe Acrobat document [4.5 MB]
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