Click on the text links below for downloadable PDF forms


Patient Rights List
Frequently Asked Questions-HIPPA Program
Notice of Privacy Practices - HIPAA

You will need Adobe Acrobat, a free software program to download, view and print these files. You can download it for free for Windows or Apple computers by clicking the Acrobat logo below.



Ipindut ti “text links” iti baba tapno maluktan ti pormas iti PDF


Listaan Kadagiti Pagrebbengan Ti Pasyente
Pagrukodan No Kasano Ti Pannakapnek Ti Pasyente
Listaan Dagiti Saludsod Ken Sungbat- Programa Ti HIPPA
Kasuratan Kadagiti Pribado A Paglintegan-HIPPA
Masapul nga addaanka ti Adobe Acrobat, daytoy ket libre a programa ti software tapno mapalubosanka nga ag-download, mangbuya ken agiprinta kadagitoy nga dokumento. Libre ka nga ag-download no addaanka ti Windows wenno Apple nga kompyuter babaen ti panangpesel ti Acrobat nga logo iti baba.


We want to know what you think! Our goal is to provide the absolute best in personal care. You can help us achieve that by taking our surveys! They're free and take 10 minutes or less! Help us help you by clicking the appropriate buttons below!
Contact 565-6919 x121 to request a paper copy of any survey.
Kayatmi nga ammoen no ania ti kapanunotanyo! Ti gannuatmi ket mangipaay ti kasasayaatan a pannakataripato ti bagi. Makatulong kayo kadakami tapno magun-od daytoy a gannuat babaen ti pannakiparteyo iti daytoy a pagrukodan (survey)! Libre ken agpa-ut laeng ti 10 a minutos wenno basbassit pay! Tulongandakamii tapno matulongandakayo babaen ti panangi-click ti tatalmegan nga adda ti baba!
Awagan ti numero a 565-6919 x 121 no kayatyo ti dumawat iti papel a kopya ti daytoy a pagrukodan (survey).

Patient Satisfaction Survey


Pagrukodan ti Pannakapnek ti Pasyente
(Patient Satisfaction Survey)


Patient Needs Assessment Survey

Pagrukodan A Kasapulan Dagiti Pasyente
(Patient Needs Assessment Survey)


478 Lauhala Place (across from the former 'Social Hall')
Mon/Wed/Fri: 9 am-7:30 pm
Tue/Thur: 8 am-5 pm
Saturday: 8 am-3 pm
Please call for additional information and an appointment 565-6919 x121
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click the logo for easy details!