Dr. Michael LaGrone

New Patient Forms

New Patient Paperwork

Returning Patient Paperwork

Telemedicine Consent Form

Release for Medical Records

COVID-19: Screening Checklist For Patient

For your convenience, we have provided the above forms on-line for you to complete prior to your appointment. The forms will automatically be delivered to our office once you submit the form.

 

Notice of Privacy Practice (NOPP)

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