Patient Forms

Hyperbaric Center Patient Forms

If you are planning to visit our facility for Hyperbaric Therapy Treatment, please print the following documents and bring them with you on your first day of treatment. If you need us to mail these document to you, please let us know as soon as possible so we can get them to you in time for your first appointment.

Patient Introduction Letter

Private Policy

Patient History form

Patient Registration form

Disclosure and Informed Consent form

Receipt of Notice of Privacy Practices

Blood Sugar Disclosure

Authorization to release and payment responsibility