If you would like to
save time, you may download our Registration Forms and Release of Information Form prior to arriving to
Click the links below
if you would like to download our registration forms. Please fill out and bring all forms with you.
Please download and read the Notice of Privacy Practices Packet prior to your visit.
If you have Medicare, please also download and fill out the Medicare Secondary Payer Questionnaire.
The files will open up as pdf files.
You must have a pdf reader like Adobe Acrobat Reader to view.
Print out the forms fill them out,
and bring it on the day of your visit.
Forms for ENTAS-VA
Notice of Privacy Practices Packet
Medicare Secondary Payer Questionnaire
Release of Information Form