Forms

Notice of Privacy Practices EOPA
Notice of Privacy Practices.pdf.
This notice describes how medical information about you may be used, disclosed and safeguarded, and how you can get access to this information. Please review it carefully, then print the signature page (page 6) and bring with you.

New Patient Packet
EOPA-New-Patient-Packet.pdf.
This collection of forms will be filled out when seeking treatment at EOPA.

Access to Telemedicine
Telehealth-Services-Consent-Form.pdf
Please fill out this form for consent to use telehealth services.
EOPA-Doxy-dot-me-check-in-instructions.pdf
Use this sheet for instruction on using the Doxy.me service.