Patient Forms Please email completed forms to [email protected]. Patient Information Download Now Authorization Regarding PHI Download Now Financial Policy Download Now HIPPA FAQs Download Now AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS (New Patient) Download Now AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS (leaving) Download Now La Información personal Descargar ahora AUTORIZACIÓN PARA LA LIBERACIÓN Y/O DIVULGACIÓN DE INFORMACIÓN SOBRE LA SALUD Descargar ahora ANUNCIO DE OFICINA LAS POLÍTICAS Y LAS PRÁCTICAS Y CONSENTIMIENTO Descargar ahora Our Patients’ Praise HEALTHY & HAPPY “I’ve been a patient of Dr. Fliedner’s for 10 years. He is an amazing Doctor. He is patient and kind and truly cares about his patients. His assistant, Cheryl, is my favorite!” ~ Mary D. Request Appointment CALL US CONTACT