We now offer Telemedicine services.
Please Click Here for Telemedicine session instructions for patients.
New patients, or any returning patients who have not been seen within the past three years, should print and fill out these forms. Returning patients should complete the Review of Systems form. Please bring the completed forms with you, so we can expedite your visit:
- ADH Notice of Privacy Practices
- ADH Notice of Privacy Practices Acknowledgment Form
- HIPAA Authorization to Contact Form
- ADH Section 1557 Affordable Care Act Notice
- ADH MMG Patient Registration Form
- ADH MMG Patient Information Forms
- ADH MMG Patient Financial Responsibility Statement
- ADH MMG Financial Policy
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: