Patient Information Form

Patient Information Form

Downloadable Patient Forms

Patient Information Form

Authorization for Use or Disclosure of Protected Health Information

Notice of Privacy

Summary of Notice of Privacy Rights

Authorization to Use or Disclose Protected Health Information

Medical Lien Agreement (For legal cases only)

Patient Intake Consent and Policy

The Center of Medical Arts

617 Hartford Road
New Britain, Connecticut 06053

Call us at:
860-225-6666

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