This new patient paperwork must be completed by every new clinic patient. You can choose to:
Download, print, fill out paperwork and bring it to your appointment.
Use Adobe Reader to fill out form on your computer and either Email completed form to the office or print out the completed form and bring it to your appointment.
You will also need to provide a copy of your insurance card and state issued ID card. You can take a picture of your card (front and back) and Email images to clinic or bring your card to your appointment, and we will scan a copy into your chart.
Each calendar year you will need to update the patient information we have on file for you, as many things can change over a year.
You can choose to:
Download, print, fill out paperwork and bring it to your appointment.
Use Adobe Reader to fill out form on your computer and either Email completed form to the office or print out the completed form and bring it to your appointment.
Each year you will need to provide a copy of your insurance card You can take a picture of your card (front and back) and Email images to clinic or bring your card to your appointment, and we will scan a copy into your chart.
Watch the video to learn how to convert a downloaded PDF, such as the clinical paperwork, and edit the form in Word. Alternatively, you can download the form and use Adobe Reader to fill in the text.