Dr. Michael LaGrone

New Patient Forms

New Patient Packet

Notice of Privacy Practice (NOPP)

Acknowledgement of Receipt of NOPP

Returning Patient Form

Release for Medical Records

For your convenience, we have provided the above forms on-line for you to complete prior to your first appointment. Please bring the completed forms with you to your scheduled appointment. This will help expedite the registration process.  If you are already a patient, please let us know if any of your information has changed.

The Notice of Privacy Practices is an informational document only and does not need to be printed out and returned for the registration process.

Please do not print the paperwork two-sided (front and back).