Patients can save time before their appointment by completing forms in advance of visiting our office.
Please ensure that you bring your photo identification and the most up-to-date insurance card(s) to your appointment. Although insurance cards are not considered formal identification, we kindly request them for scanning purposes into patient charts, alongside their corresponding photographs.
Hill Health, Inc., A Medical Corporation complies with civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you believe that Hill Health has discriminated against you can file a grievance.
Hill Health staff will be happy to assist you in obtaining your medical records upon receipt of a valid authorization. Use this form to request a copy of your medical records and/or billing information.
Fill out this form to the best of your ability. Understanding your health history will aid the doctor in knowing what tests and treatments you have already had and assist in diagnosing you moving forward.
Please acknowledge your understanding of our appointment “No Show” policy.
Provide as much information as you can recall to assist the doctor in understanding your medical history and diagnosing you moving forward.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
New Patients: Please fill out this registration form at least 15 minutes prior to your first appointment.
This agreement outlines unacceptable behaviors that impede a healthy and safe patient-care environment. By signing this agreement, you are acknowledging you are aware of Hill Health’s behavior expectations.
Hill Health contracts with HMO and PPO insurance plans and provides healthcare services that fit your benefit plans.