Please fill out a patient history form. You can chose to
do a web based form or print out the form and send it in.
For web based health history form, click
here. Please fill out form at least 2 days in advance of your
appointment. It will take you approximately 1
hour to fill out. This form is on a secure server to ensure
confidentiality.
Instructions to print out history form.
1. To view the history form, click here. If you do not have Adobe
Acrobat Reader, click
here.
2. Print out the form.
3. Fill out the form and
bring it into the office the day of your visit and, if possible, fax it to
1-877-857-4019 or mail it to the office
where your visit is at least 2 days prior to your visit.
VIP Plan Membership Contract
Click
here to download the VIP Plan Membership Contract. Please read and
sign contract before your next appointment and bring to the appointment.