Below you will find various forms and policies supplied by MAUA that are necessary before patients can begin treatment. Please view and read each document carefully. Should you have any questions, please feel free to email info@mauamd.com. Please be sure to reference the form that you are having difficulty with, so that we may assist you better. This information may be updated at any time, and we ask that you check back periodically to ensure that you have the most up to date information from MAUA.
- MAUA Patient Registration Form
- MAUA Patient History Form
- MAUA Medical Information Release Form (HIPPA)
- MAUA Voluntary Waiver of HMO Benefits Form
- MAUA Opt-Out Form
- MAUA UHC Waiver
- MAUA Patient Surgery Cancellation Policy & Form
- MAUA Fertility Questionnaire
- MAUA Patient Sexual Dysfunction & Infertility Promissory Note
- MAUA HIV Consent Form