Download. Print. Complete.
To make your first visit go faster, you may fill in and bring the following forms with you. We also require a form of identification and your insurance card (if
using.)
- Please print out Office Policy forms ( Number 1 ) and complete before you come into the office.
- If you will be using insurance, print out and fill in Assignment & Lein form (Number 2)
- If the patient is under 18 years of age, form 3 must be signed by the patient’s parent or guardian.
- Auto Accident patients must also bring Auto Accident Forms (Number 4 ).
- All New Patients will also fill out their health history and present complaints electronically in the office.
You may print the Notice of Privacy Practices (HIPAA) Regulations here.