you're inline with our online services online registration and forms

 
  We are pleased that you have joined our practice for your health care needs. We invite you to complete these forms prior to your visit to minimize registration time at your first appointment.

Please fill out and submit the on-line Registration Form, then click on the Consent Form icon to download a PDF version of the form. Print out the forms and bring them (completed) to your first appointment.

If you don't have Acrobat Reader® on your system, click on the Get Acrobat icon to get a free download of the program.

 
Online Patient Information
Please read this Patient Information prior to completing the Registration and Medical Information Forms.


Registration for NEW Patients
If you wish to join our practice, once you've called our office and scheduled an appointment with our physicians/nurse practitioners, please fill out and submit this online form. Then print and fill out the Consent Forms below.

  Consent Forms for NEW Patients
Please print out these forms and bring them (completed) to your first appointment. These forms provide the physician with necessary medical history information.

Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

 

 


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Created by staff member Susan Russell in 2000
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