For our current patients we look forward to updating your record when
you check in for your appointment. If this is your first visit to
our office, we invite you to fill out the forms listed and bring them
with you. We will be making a copy of your insurance card, so please
bring this as well. If you have a co-payment please be aware that
it will be collected at the time of your visit. For your convenience,
we accept payment in the form of check, cash or MC/VISA.
In order
to provide a thorough evaluation, we recommend you bring a list
of all medications you are currently taking, and a list of, previous
surgeries. To ensure you get the most out of you appointment, we
encourage you to bring a diary of any symptoms you are experiencing
as well as a list of questions you may have. We look forward
to hearing from you soon! Patient
Registration Form