Forms

Patient Questionnaire:Patient Questionnaire

New patients may fill out the Patient Questionnaire/Medical History/Financial Policy form prior to their first appointment. Completing this form in advance gives you ample time to gather all of the necessary information and speeds up your wait time in the office. Patients can print out a questionnaire by clicking on the link above. Be sure to bring the form with you to your first appointment.

HIPAA Privacy Statement & Acknowledgment:HIPAA Privacy Form

HIPAA, the Health Insurance Portability and Accountability Act, requires us to disclose our privacy practices to each of our patients. Please download the HIPAA Privacy Form and review it thoroughly before your appointment. Once you have read the entire notice, please sign and date the form to acknowledge you have read and understand it.