The member agreement describes how membership works in detail, the kinds of services that are included, and the kinds of services that are not included. We are happy to answer any questions. If you decide to become a member, we’ll need a signed copy of this agreement.
From time to time it may be necessary for us to receive information about you from other medical facilities. If you need to complete this form, we’ll let you know.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. We need a signed copy from each patient.