General Information
IIn order to have ample time to accurately complete the required patient information and medical history forms, we have provided access to these forms. Please take the time to download the following forms, fill them out, and bring them with you to your first office visit. This will expedite your initial office visit and enable us to process your information more efficiently.

* Patient Information Form

* Patient History Form

All of our forms are posted in Adobe Acrobat and you will need Acrobat Reader to view and print them. If you do not have Acrobat Reader, please click on the icon below and follow the on screen instructions for a free download.

Acrobat Download

To obtain your records from STOSSA or have STOSSA obtain your records, you will need to fill out and sign one of the following forms:

* Authorization for Release of Medical Records (permission for STOSSA to release your records to another source)

* Records Release Form (permission for STOSSA to obtain records from another source)

* Notice of Privacy Practices and HIPAA Consent Form

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