To save you time in the office before your initial visit, please fill out the following forms. Please download the New Patient Registration Forms, fill it out, save it and email it to yourself and firstname.lastname@example.org, our front office manager. You will get a confirmation email that your new patient forms have been received.
Also please bring your insurance card and ID/Driver’s License.
Submitting preliminary healthcare or insurance information or making an appointment with the practice does not establish a physician-patient relationship. That relationship is not created until the practice has completed a preliminary evaluation and then notifies the individual in writing that he or she has been accepted as a patient.
RELEASE OF MEDICAl RECORDS
Click here to download Release of Medical Records Form