Please download the medical history form using the link below. If you or someone you care for plans to participate in a clinical trial at our site, please complete this form with the patient's health information and bring it to the first visit. If you need more space to clarify the patient's medical history, please feel free to amend the document as needed. If you would rather fax the form to us, that would be fine as well. Thank you.
The links below allow you to download important documents pertaining to HIPAA and Clinical Trials. This information will help clarify the health information procedures that are mandated by law for medical research facilities.