Welcome!
 
Follow these 2 steps if it is your first time with our office. 
The intake and health record must be completed BEFORE your scheduled appointment. 

New Patient Intake Form

Please fill out this form and click the submit and continue button to be directed to the secure health history form.

This must also be completed before your visit is scheduled

Step 1

We have a text or phone call reminder system. Are you okay with that for future visits?
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Area of complaint:
Do you have a preference for your main doctor?
Your new patient appointment will require approximately 1 - 1-1/2 hour(s), which day(s) are best for you?
We offer morning or afternoon new patient appointments, which would you prefer?
Would you prefer to be contacted via phone call or email to be scheduled?

Office policies requiring appointment rescheduling:

     1. Late arrival:      I understand that if I am 10 minutes late for an appointment, my visit will need to be rescheduled to allow adequate time with the doctor.

     2. Paperwork not submitted prior to appointment:      I understand that my completed paperwork is not submitted prior to my appointment, my visit will need to be rescheduled to allow adequate time with the doctor.

     3. Cancellation policy: 24-hour notice is required.  If you need to cancel your appointment, you will be allowed to reschedule without penalty one time.  If a second cancellation occurs, a deposit of $50 will be required to reschedule.  This is non-refundable but will be applied to your amount due on your first visit.  This is not billable to your insurance.

Step 2

Complete Confidential Patient Health Record Form that pops up when you click the "Submit and Continue" button to the right.