NEW PATIENT INFORMATION
NEW PATIENT INFORMATION
NEW PATIENT INFORMATION
Please print and fill out the forms below, as applicable to you.
- TIME-Please arrive 30 minutes prior to the appointment time.
- Please bring a valid ID card and an Insurance card.
- PAYMENT-We only accept Visa, Discover, and MasterCard credit cards. We do not accept Checks and American Express card.
- Please fill out the Registration form for new patient.
- Also fill out Release of information form, if needed for previous treatment records.
- Please review the Clinic Orientation and HIPPA policy.