Welcome to the Center for Hypertension. Before proceeding with your new patient paperwork, please carefully review the following:

• Medical Information: The information you provide during this process will help us understand your health status and history. Please ensure all details are accurate and complete to the best of your knowledge. Inaccurate information could affect your diagnosis and treatment plan.
• Confidentiality: All the information you submit is protected under the Health Insurance Portability and Accountability Act (HIPAA). Your personal health information will remain confidential and will only be shared with authorized healthcare professionals involved in your care.
• Consent for Treatment: By submitting your information, you consent to receive medical care, evaluation, and treatment from the Center for Hypertension’s healthcare providers. You also acknowledge that this information will be used to create your medical record and inform your personalized care plan.
• Insurance and Billing: Submission of this information does not guarantee insurance coverage. Please ensure your insurance information is up-to-date, and note that you may be responsible for any co-pays, deductibles, or uncovered services. Emergency Care: This form is not a substitute for emergency care. If you are experiencing a medical emergency, please call 911 or go to the nearest emergency room.

By clicking “Proceed,” you acknowledge that you have read and understood the above information and agree to provide accurate and complete details.