DOWNLOAD
NEW PATIENT
PAPERWORK

To save time, you can bring filled out paperwork to your first appointment. Otherwise, we will have copies available to fill out the day of your first appointment. Please allow 30 minutes before your appointment time to complete paperwork if you have not done so already.

***Click on the icons to download each document***

Attention Parents to Minors: A parent is required to attend the first initial visit with your child.

HIPPA NOTICE OF PRIVACY

CHIEF COMPLAINT

PATIENT DEMOGRAPHIC

MEDICAL HISTORY

PAYMENT POLICY

CONSENT TO MINOR

(For kids 18 & under only)

DOWNLOAD NEW PATIENT PAPERWORK

Attention Parents to Minors: A parent is required to attend the first initial visit with your child.

DOWNLOAD
NEW PATIENT
PAPERWORK