www.sandiavista.com - Forms and Policies

New Patient Forms and Policies

All forms are sent and signed electronically but are available here for any technical difficulties completing the electronic forms.

Consent for Treatment

HIPAA Notice for Privacy Practices

New Patient Health History Form

New Patient Demographics

Late Cancellation and No-Show Policy

Telemedicine Policy

Expectations of Conduct and Behavior

Card Authorization Form

Financial Responsibilities

Minors Consent (14-17 years-old only)

Additional Forms

Release of Information Form

Controlled Substance Agreement Form

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