Please open the form you need, print it, fill it out and bring it with you.

New patients only:  Please print, complete and sign items 1, 2, 3, 4 and 7.  Please print and sign page 7 of item 6.

Bring these completed and signed forms with you to your first appointment.

Thank you for your courtesy.

1. New patient demographics & insurance

2. New patient history

3. How you see yourself doing

4. Allow us to release your records

5. Get your medical records to us

6. Privacy practices notice

7. Current Medications

Now that you have taken the trouble to print the forms and Oh So Painfully fill them out,

Don't forget to bring the completed forms with you for your appointment!!

IMPORTANT NOTICE FOR LIEN PATIENTS (personal injury - working with an attorney)

Lien / personal injury patients MUST print and fill out the following three forms:

      Lien form #1 - Litigation_Lien_Agreement

      Lien form #2 - Questions_for_MVA  (Motor Vehicle Accident)

      Lien form #3 - Symptoms_from_Accident

Lien patients:  Please bring completed forms to your first or next appointment!