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Before your first visit to our office, please fill out the Patient Information (Medical History) form.
This will help our physicians give you the best possible treatment in the least amount of time.
This patient form is available as an Adobe .pdf.
If you are not able to open this form, then you will need the Adobe Reader.
Click here for this free download.
If you have any questions about how to fill out a specific section of the form, simply leave it blank and ask us about it when you arrive for your appointment.
Helpful Reminders:
In addition to filling out our patient forms prior to arrival, we ask that you arrive 10-15 minutes early for your appointment so that we can process your paperwork.
Also:
• For your comfort wear loose clothes over the area of concern.
• If your health plan requires you to have a referral from your primary doctor, please bring it with you. Unfortunately, without a referral, you will be personally responsible for payment.
• Please plan to pay your co-pay when you check-in for your visit.
• For injuries related to auto accidents or workman's compensation, the appropriate paperwork with the insurance name, address, and telephone number with a valid claim number is necessary to be seen in the office.
• An adult must accompany patients under 18 years of age so that legal consent for treatment can be obtained.
• If any tests are ordered, please plan to review the results with your physician during a follow-up appointment. We regret that we cannot interpret any tests, including laboratory and x-ray, by telephone.
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