NEW PATIENT INFORMATION

The following six tabs contain both useful information and the policies and practices of this clinic.  Please read each carefully.  Please feel free to contact us with questions or concerns prior to your visit. 

New Patient Information Packet
Payment Policy
Authorization for Payment and Release of Information
Cancellation Policy
Notice of Privacy Practices
Electronic Communications

If you have an opportunity, please download and fill out the last four documents prior to coming to the office. This will save time at check in and allow more face time with the physician.  Please bring the completed forms to the office on the day of your visit.  Do not email these documents to the practice. Thank you for your time and consideration. 

HIPAA DISCLOSURE AUTHORIZATION
NEW PATIENT INTAKE FORM
PATIENT DEMOGRAPHICS FORM
ACKNOWLEDGEMENT OF POLICIES AND PRACTICES