To help you prepare for a successful visit and streamline your check-in, we invite you to complete the appropriate forms before your scheduled appointment.

If you have any questions when filling out a form, please contact our office. We'd be glad to assist you.

The forms on this page are PDF files and can be viewed with the free Adobe Acrobat Reader. You can download a copy from Adobe's web site.

Procedures

Pregnancy Ultrasound Questionnaire (5 K PDF)
For patients, to prepare for a pregnancy ultrasound.

Patient Registration Form (70 K PDF)
For patients, to provide information prior to an appointment.

Ultrasound Acknowledgement Form - English

Ultrasound Acknowledgement Form - Spanish

Ultrasound Acknowledgement Form - Chinese

Ultrasound Acknowledgement Form - Vietnamese

Ultrasound Acknowledgement Form - Arabic

Ultrasound Acknowledgement Form - Hindi

Notices & Policies

Notice of Privacy Practices - English
Notice of Privacy Practices - Spanish
Our complete medical privacy practices and HIPAA information.

Acknowledgement of Receipt of Notice of Privacy Practices - English
Acknowledgement of Receipt of Notice of Privacy Practices - Spanish
For patients, to sign and acknowledge receipt of our Notice of Privacy Practices.