Patient Forms

Please download and fill out the following forms and bring them to your first appointment:

Welcome To Our Practice Form

Authorization Form

Notice of Private Practices

Financial Responsibility Form

Instructions:

  1. Click on the each form to download and save this file to your computer.
  2. Locate and open each form on your computer
  3. This will open the file in Adobe Reader. If you do not have Adobe Reader you can download it here.
  4. Begin filling out the form.
  5. If you are having trouble seeing any of the fields, at the top of the form in the purple bar on the right is a “Highlight Existing Fields” button. Click this to display what you can fill out.
  6. Please make sure that all the red outlined boxes are completed. Everything else depends upon the individual.
  7. Click on File - Save in Adobe to save the filled out form.
  8. Print the form and bring it to your first appointment.