New Patient Information

Some of our patients find it useful to fill out new patient paperwork in advance. You can download pdf versions of all the necessary forms below.

Registration Form

This form provides us with your contact information. It also provides you with the opportunity to tell us how you would like to be communicated with.

Medical History Form

This form provides us with your contact information. It also provides you with the opportunity to tell us how you would like to be communicated with.

HIPPA Consent Form

The HIPPA Consent form is used to protect your privacy. Only those listed on your HIPPA form may be given access to your medical records.

Insurance Form

This form is used to grant us permission to use your insurance benefits toward treatment at our offices.

Credit Card Authorization Form

Some of our patients prefer to use a credit or debit card to pay any remaining balances after insurance. This form is required to authorize us to charge your account.

Financial Policy Agreement

This form provides you with access to our Financial Policy. All patients are required to sign this form as an official acknowledgment of our Financial Policy.