If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office.  Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.

Patient Forms

• Welcome
• Consent (HIPPA)
• HIPPA
• Patient Registration
• Initial History Form
• ImmTrac Consent Form
• Eligibility Screening
• Permission Form
• Vaccine Refusal Policy 

Spanish Forms

• Bienvenidos
• Forma de Registro
• HIPPA
• Historia Inicial
• Immtrac Consent Form
• Practicas de HIPPA
• Eligibility Screening 
• Permission Form
• Poliza de Rechazo de Vaunas

Authorization for Medical Release

• Medical Release Form

This web site uses files in Adobe Acrobat Portable Document Format  (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.

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Payment Options

For your convenience, we accept cash, personal checks, money orders and major credit cards. Payment is expected at the time services are performed. When more extensive care is necessary, financial arrangements can be made with our office.