To better assist our patients reduce time spent in our office, we have supplied the most common forms that you must fill out prior to your first visit to our office. Please feel free to print the forms, fill them out to your best ability, and bring them in with you to your first appointment.
New Patient Packet
General Explanation of Forms
General information regarding the patient, emergency contact, insurance and guarantor. The guarantor is whoever holds the insurance policy.
Information regarding patient medications, surgical history, vaccination history and allergies
This policy addresses questions concerning your responsibility with fees or the payment process.
Notify of Privacy Practices
You have received your HIPAA paperwork.
Listing authorized person(s) to obtain medical information about yourself. Communication preferences.
Controlled Substance Contract
Guidelines for controlled substances
Patient consent for telemedicine appointments