New patients

Welcome. We're glad you're here.

Download your packet, complete it and turn it in to our office. Our team will call you to arrange your first visit.

How it works

Four steps to your first visit.

Download
Get the 12-page new patient packet below.
Print & complete
Print it at home or pick up a copy at our front desk. Complete and sign the forms.
Turn it in
Return your completed packet to our office before your first visit is scheduled.
We'll call you
Our office will call you to arrange your first visit.

Patient packet

All forms come in one printable PDF. Please complete every page that applies to you.

Patient Registration Form
Demographics, insurance, spouse and emergency contact information.
Medical History Questionnaire
Medications, allergies, surgeries, family and social history, health maintenance.
Registration Consents & Acknowledgments
Privacy acknowledgment, referrals, consent to treat, financial agreement, photo consent, Medicare/Medicaid.
Patient Portal Consent & Agreement
Terms for secure online access to your health information.
Controlled Substance Agreement
Required only for patients receiving controlled medications.
Consent for E-Prescribing
Authorizes electronic prescriptions and medication history access.
24-Hour Cancellation & No-Show Policy
Acknowledgment of the $25 missed-appointment fee.
Authorization for Release of Health Information
Lets us request records from your previous providers.
Previous Doctors & Specialists
List of physicians you have seen, with contact information.

Your first visit

Please give at least 24 hours' notice to cancel. Missed appointments incur a $25 fee.
Copays and deductibles are due at check-in.
Patients receiving controlled medications must sign our Controlled Substance Agreement.
We care for adults ages 18 and older.

Now accepting new patients