Online Patient Registration
You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Financial and Privacy Practice Forms
Please review our Notice of Privacy Practices which is available below. After reviewing the document, print off the Acknowledgment of Receipt of Notice of Privacy Practices , Statement of Financial Responsibility and the Insurance/Network Participation List . Sign each of the documents and bring them with you to your appointment.
For your convenience we are able to dispense most prescription medications in our office, saving you a wait at the pharmacy. Please print our Prescriptions Form and read for further details. Please bring the completed form with you to your appointment.
Flexible financing options are available through Care Credit. To apply or learn more please visit www.carecredit.com or contact one of our team members for more information.
Please Note: some of our forms may require Adobe Acrobat reader. You may download the free plugin for Adobe Acrobat to view these forms. If you choose not to download the plugin, please arrive 15 minutes prior to your appointment to complete your registration.