Online Patient Forms:

Completing the forms online will securely send your information to our clinic after submission.

Patient Forms for In-Clinic Appointments

Patient Forms for Telemedicine Appointments

  • Online Registration is optimized for Google Chrome. Older versions of Internet Explorer can sometimes result in fields not responding as expected.
  • After online forms have been completed, you will be redirected to the login page and your registration has been successfully submitted.
  • Please allow at least one hour after scheduling your appointment to complete paperwork online. The online paperwork platform can take up to two hours to sync with our scheduling system.

Technical issues?

Use the printable forms below or click here for an alternative online option.

Printable Patient Forms:

You may choose to print the patient forms to complete at home. Please bring your completed forms to your next appointment.

Required Annually:
Patient Registration Form pdf icon
Patient History Form pdficon_small

Optional:
Release of Information Form pdficon_small

HIPAA Disclosure Form pdficon_small
Minor Consent for Medical Care Form pdficon_small

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