New Patient Consent Forms

Please print and fill out the forms below before your first appointment. If you would like to fill them out at the office, please arrive a few minutes prior to your scheduled appointment time. Thank you!


HIPAA Form: HIPAA.pdf

Agreement of Financial Responsibility Form: Agreement of Financial Responsibility.pdf

Patient Attendance Policy Form: Patient Attendance Policy.pdf

Access to Fullscript: Fullscript Consent.pdf


Please make sure to fill out the New Patient Online Intake Form as well!

LOCATION

Monday

Closed

Tuesday

9:00 am - 12:30 pm

3:00 pm - 6:00 pm

Wednesday

9:00 am - 12:30 pm

3:00 pm - 6:00 pm

Thursday

9:00 am - 12:30 pm

3:00 pm - 6:00 pm

Friday

Closed

Saturday

9:00 am - 12:30 pm

Sunday

Closed

Monday
Closed
Tuesday
9:00 am - 12:30 pm 3:00 pm - 6:00 pm
Wednesday
9:00 am - 12:30 pm 3:00 pm - 6:00 pm
Thursday
9:00 am - 12:30 pm 3:00 pm - 6:00 pm
Friday
Closed
Saturday
9:00 am - 12:30 pm
Sunday
Closed