We are pleased that you've chosen The Huxford Clinic. Our goal is to provide you with the best medical care we can and to do so in a manner that minimizes your inconvenience.
To do so, we need to follow essential standards and operate with complete and accurate information. Your help in this regard is vital. Thank you!
For faster service, please print the .pdf documents linked below (each document file will open in a new tab) and complete these medical forms as specified below before your first visit. You only need to bring us the applicable forms so call if you have any questions.
- Patient Registration - please complete these 3 pages in detail
- Patient Information - please complete this page in detail
- Consent to Treat - please review carefully and sign
- Medicare Questionnaire - helps us make your check-in faster and more efficient
- Influenza Vaccine Consent - only needed when getting a flu shot at The Huxford Clinic
- Authorization for Disclosures of Protected Health Information - allows The Huxford Clinic to share your medical records as needed
- HIPPA Privacy Notice Acknowledgement - please sign this form after reading our Notice of Privacy Practices (retain for your records)
- Clinic Payment Policy - please review carefully and sign