Patient forms

Patient Partnership Plan.

Great care is a partnership. Here's what you can expect from us, and what we ask of you in return.

What you can expect from us

To treat you with respect, dignity, and compassion.
To listen carefully and not rush your visits.
To explain your diagnosis and treatment options in language you understand.
To protect your privacy and keep your health information secure.
To coordinate your care across specialists and follow up on results.

What we ask of you

To share your complete health history, medications, and concerns honestly.
To ask questions whenever something is unclear — there are no bad questions.
To follow the agreed-upon care plan and tell us if something isn't working.
To keep your appointments or provide advance notice when you cannot.
To be an active participant in decisions about your health.

Together, this partnership helps us deliver the kind of longitudinal, relationship-driven care that keeps you healthy over time.

Acknowledgment

Patient Name *I have read the Patient Partnership Plan and agree to participate as a partner in my care. *

Signature

Signature (type full legal name) *Date *

By submitting, you confirm the information above is accurate to the best of your knowledge.