patient-filling-out-form On your first visit, plan to spend the first few minutes filling out a patient information sheet, as well as reviewing and signing release and acknowledgement forms.  The forms are provided here for your review and convenience.  Also, a photo will be taken of you and stored in our records to assist in the prevention of identity theft.

For patients who are uninsured or underinsured we offer a Sliding Fee Program which is based on household size and income.  Forms below.

 


What To Bring

what-to-bring
Please bring these items with you for your first visit:

  1. Completed forms (see above)
  2. State Authorized Photo ID
  3. Insurance Provider Card
  4. Your current medications (prescriptions and over-the counter) in their original bottles.

 


Common Questions

help Coming soon!

In the meantime, if you have a question, please contact us.