Baba

Patient Forms

Registration

You can download the forms for registering with our office from the links below. Please make sure that you fill these out prior to your first visit to our office. Also, if it is your first visit, please make sure that you arrive about 30 minutes prior to your appointment time. This allows our staff to register you in our system and collect your forms and insurance information.

Forms

New Patient Forms (Required)
Male Patients (Required)
Female Patients (Required)

Patient Privacy Questionnaire (Required)
Notice - HMO Authorizations (Required)
Permission for Treatment (Required)

Office Policies (Required)
Medical Records Release Authorization (Send records to Baba)
Request Medical Records From Baba (To send to another doctor)

PLEASE NOTE THAT IF YOU ARE A NEW PATIENT, YOU WILL HAVE TO FILL OUT ALL THE REQUIRED FORMS. YOU WILL NEED TO CHOOSE MALE OR FEMALE FORMS PACK ACCORDINGLY. IN ADDITION, PLEASE DO NOT SIGN THE FORMS AT HOME - YOU WILL NEED TO SIGN THEM IN OUR PRESENCE AT THE OFFICE.

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