Patient Forms

Please download, print, complete, and bring these forms with you to your visit. If you are not able to complete these forms before your appointment, we will make them available for you at the office to complete before your initial visit.

Authorization for Use

HIPAA Privacy Policy

HIPAA Notice of Privacy Practices

Patient Financial Responsibility

Patient Information Form

Check-in Process

You will be asked to present your picture ID and insurance at check-in so we may verify your identity and insurance coverage. Your co-pay will be collected at check-in. Any additional fees or balance owed will be disclosed during the visit and will be due at the end of your visit.

We accept cash, VISA, MasterCard, American Express, HSA, and FSA.


Healthcare Information for Patients: