Patient Forms Patient Registration Forms Medical History Form – (New Patients) Office Visit History Form – (Returning Patients) Registration Record Consent for Treatment Arbitration Agreement (2018) HIPPA Notice of Privacy Practices HIPPA Payment Agreement Patient Consent Forms ERCP Consent and Risk Assessment Release of Information Forms Authorization for Release of Protected Health Information (for records from another Dr. office) – Dr. Gonzales and Ruth Earley Authorization for Release of Protected Health Information (for records to be sent to another Dr office) – Dr. Gonzales and Ruth Earley