Patient Documents
Here you will find a listing of convenient & necessary forms for you to download, fill out and bring/send to your doctor.
Notice of Privacy Practices
Notice of Privacy Practices
This describes how your health information may be used and disclosed
Download
DPC/Wellness contract
DPC/Wellness contract
This describes your membership agreement
Download
Download and fill out these forms before you come for your first visit to save time.
Check out some details for our new Wellness Program offered at the CHSM Wellness & Athletic Development Center.
This notice describes how health information about you (as a patient of this practice) may be used and disclosed and how you can get access to your individually identifiable health information.