Forms

If you are a new patient or if you are an established patient and have not updated your registration forms this year, please print and complete the following forms:

• Avalon Medical Group – Patient Information Form 2018
• Avalon Medical Group – HIPPA 2018
• Avalon Medical Group – Patient Financial Policy Form 2018
• Avalon Medical Group – Medical Release Form 2018
• Avalon Medical Group – New Patient Request Form 2018
• Avalon Medical Group – Patient Data Form 2021
• Avalon Medical Group – Minor Consent 2021
• Avalon Medical Group – Outgoing Records Release 2021
• Avalon Medical Group – Outgoing Records Release w/ Clinical Fax 2021
• Avalon Medical Group – Consent To Treat 2021
• Avalon Medical Group – Confidentiality 2021
• Avalon Medical Group – Mental Health Notice 2021
• Avalon Medical Group – Consent For Nonparent to Bring Minor 2021

You may bring the completed forms to our office or mail these forms to us at: