© 2018 by Maria Yu
 

Notice of Privacy Practices

PATIENT FORMS

Please find patient forms above to review before your first appointment. 

 

We ask for the courtesy of one full business day notice if you cannot make your scheduled appointment. If you miss or are unable to make your physician or nurse practitioner appointment, and it is not cancelled or rescheduled, with the one full business day period, a $50 missed-appointment fee will be billed to your account. We appreciate your cooperation. 

Patient Intake Form

Advance Directive Info/Form

Patient Responsibilities

Health Assessment

Adult

Health Assessment Senior