Registration For New Patients

If you are a new patient to our clinic, we'd like you to know we use ipads for registration and check-in.  If you'd like to review these documents before you arrive, please see the below links. 

Si usted es un paciente nuevo en nuestra clínica, queremos que sepa que usamos ipads para la registración en todas las citas.  Si quiere revisar estos documentos antes de su cita, vea más abajo.

English

Download Registration form | Download HIPAA Notice of Privacy

Español

Descargue Formulario de Registro | Descargue Aviso Sobre Las Prácticas Privadas HIPAA

Transfer of Medical Records

Please download, print, and fill out the following forms and bring them to the clinic to transfer your medical records between Striedinger Medical Group and other physicians.

To transfer medical records to Striedinger Medical Group from other physicians:

Download Request for Medical Records Release

To transfer medical records from Striedinger Medical Group to other physicians:

Download Authorization for Release of Information