Patient Registration Forms
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form and provided an electronic signature, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Once you have completed and submitted your form online through PBHS Truforms, our administrative team will automatically be notified and will be able to access and view your records via our secure practice management system so that we will already have your records when you arrive at our office. Registering online reduces paper waste, saves you time at our practice, and allows us to see patients in a time-efficient manner.
This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.
This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.