The Sanger Clinic welcomes the opportunity to take part in your medical care. For your convenience, we have made several of our patient forms available to you as Adobe Acrobat files. You will need the free Adobe Acrobat Reader to download these forms properly.

Patient Registration Forms
When you arrive at our office, we will obtain a detailed medical history in order to carefully evaluate your condition. You are encouraged to print this form out at home, and bring to your first appointment.

New Adult Patient Form

New Pediatric Patient Form

Release of Health Information Form
Download and complete the form to request and authorize the use or disclosure of your health information.

Authorization for Release of Health Information

Formulario de Autorización para Dar a Conocer Información de Salud

HIPAA Forms
We are required to protect the privacy of health information about you and that can be identified with you. Below are some frequently asked general questions about HIPAA and a copy of the acknowledgement form that every patient is required to sign.

HIPPA General FAQs

Acknowledgement Form (HIPAA)