New Patient Health History Form - Required
In order to be compliant with all the new regulations and to make things as time efficient and smooth as possible, we have upgraded our office systems.
Please click the following link to go to our patient intake form. You do not have to print them; just fill them out COMPLETELY. This will save you time in office, and will insure we have all of your current information.
Our new systems offer a variety of services, which will make things much easier both for you as our patient and for the office. This new system, makes reminders, statements, chart notes, and documentation easier and more complete. It also gives us a powerful tool when dealing with your insurance company.
So please take a few minutes to fill this out. If we will not be using your health insurance please fill out the form, and leave the insurance information blank.
Member Wellness Registration Form - Optional
This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office.
You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!