Patient Forms
Make your first visit fast and efficient.
Notice of Privacy Policy
This notice describes how medical information about you may be used and disclosed, as well as how you can get access to this information.
Patient Forms
Make your first visit fast and efficient.
To make your visit to ExperCARE as efficient as possible, we have provided the following patient forms for you to fill out before you arrive. Simply click on the appropriate link and the form will automatically download for you to print.
Registration Form
New patients need to provide personal and work related info, as well as insurance details and guarantor contacts.
Consent Authorization
Patient consent assignment and authorization for treatment and notification of center policies.
Parental Authorization
If a minor child will receive treatment when accompanied by someone other than the parent or guardian, or by himself or herself.
