| If you are a new client of PAGR, we ask that you
supply some additional information.
Please download, print and complete these forms before you come
in for your appointment.
› Identifying Information Form
› New Patient Information Form (Adult -- Optional)
› New Patient Information Form (Child -- Optional)
› Policy Information
› Health Insurance Portability and
Accountability Act (HIPAA Privacy Policy)
› Privacy Policy Acknowledgment of Receipt |