Prior to being seen on your first visit, it is important that we obtain information from you in order to best assist you. See below the necessary forms that we request you complete prior to being seen.
- History and Physical Questionnaire
- HIPPA Form
- New Patient Form
- Notice of Privacy Receipt
- Notice of Privacy Practice Policy
- Patient Financial Policy
- Cover Letter
- Consent to Email Patient Records
There may be times during your treatment that you request that we send select records to another provider. It will be necessary for you to complete this release of records authorization for us to send those records
Important Notice Regarding FMLA & Disability Forms
Dear Patients,
Please be advised that completing FMLA (Family and Medical Leave Act) and disability forms outside of your scheduled appointment will incur a $20 processing fee. This fee covers the time and administrative work involved in filling out these forms.
We kindly ask that you bring these forms to your appointment whenever possible to avoid this charge. If you have any questions or concerns, please don’t hesitate to contact our office.
Thank you for your understanding.