Please print out all 4 forms, and bring them to your first visit.

1. •    Confidential Patient Health Record
   

2. •    HIPAA Consent
   

3. •    Financial Policy
   

4. •    Pain Scale

For your convenience, you are able to complete all paperwork before arriving at our office for your convenience. 

If you have any questions, please ask at the time of your visit.

This site uses the Adobe Acrobat (.pdf) file format for the above form.  
If you do not have the reader please click on the "Get Acrobat Reader" icon
so you may view and print this new patient form.