Please print and fill out the following forms (either Word document or PDF, they are the same) and bring them with you for your first appointment. You may also email them to firstname.lastname@example.org to streamline your new patient check in.
Don't forget to bring your insurance information with you.
In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.
We accept most types of health insurance. Please contact us for further details.