The New Patient Form is in Adobe Acrobat (PDF) format. If you do not have Acrobat Reader, get a free copy by clicking on the link below.

 

Then print the form, fill it out, and bring it with you on your first visit. Also, after reading the Notice of Privacy Practices, print the Acknowledgement form below, sign it, and bring it in, too.

 

New Patient Form (Acrobat PDF form)

Acknowledgement of Receipt of Notice of Privacy Practices (web page)

Patient Financial Responsibility.