Patient Registration and Medical History

Upon arrival at our center, you will be asked to fill out two forms, a Pre-Registration Form and a Patient Medical History Form. Please feel free to print these forms in advance, completely fill them out, and bring them with you to our facility. By doing this, you will greatly reduce your waiting time. The purpose of these forms is to provide us with your most current medical history and insurance information, and also to be able to answer questions you may have for us. It is important that we have as much information about your medical history as possible to allow the physician to accurately make a diagnosis and provide appropriate medical treatment.

Please bring your insurance card with you at the time of service.

All co-pays are expected at the time of service.

You will need Adobe Acrobat Reader to view these forms.