Policies & Forms

Demographic Information Form
New patients please print, fill this form out, and bring it to your first appointment to make the check in process more efficient.
Demographic Information Form.pdf
Adobe Acrobat document [443.1 KB]
Consent to Treat Minor
Patients under 18 years old must have a parent or guardian fill out this consent form if they wish to be seen without a parent or guardian present.
Consent to Treat Minor.pdf
Adobe Acrobat document [63.8 KB]
Financial Policy & Notice of Privacy Policy
New policy as of 2022
Financial Policy and Acknowledgement of [...]
Adobe Acrobat document [140.9 KB]
Medical Record Release Form
Medical Record Release.pdf
Adobe Acrobat document [329.2 KB]