Patient Forms

We know that your time is valuable.  To save you time at your appointment, the 3 forms below may be printed and filled out to bring with you.   

Patient Information Form

Patient Financial Agreement

Acknowledgment of HIPPA

If you have not read the HIPPA Privacy Practices, you may view them by clicking on the link below. 

HIPPA Privacy Practices

If you would like to leave your credit card on file with us, you may click on the link below and print out the form and bring it with you to your appointment.  It is not neccessary, but some of our patients find it simplifies payment on their account, and prefer not to give that information over the phone, so we offer to keep it on file for you. 

Credit Card

Insurance is important to many of our patients, and we have some thoughts for you on your insurance.  You may read by clicking on the link below.

Thoughts on Insurance