Resources and Forms

New Patient Forms

To save you and our staff time on your first visit, please print and fill out the New Patient Forms and bring it with you on your next visit.

Address Update Form

To save you and our staff time on your first visit, please print and fill out the Address Update Form and bring it with you on your next visit.

Insurance Update Form

To save you and our staff time on your first visit, please print and fill out the Insurance Update Form and bring it with you on your next visit.

Medical Records Release Intake Form

To save you and our staff time on your first visit, please print and fill out the Medical Records Release Form and bring it with you on your next visit.

Medical Records Release External Form

To save you and our staff time on your first visit, please print and fill out the Medical Records Release Form and bring it with you on your next visit.

Missed & Late Arrival Appointments

Please note that a fee of $25 will be charged in cases of missed appointments or appointments that are not canceled at least 24 hours in advance. This policy is outlined in our new patient registration form.

In the event of a late arrival, we reserve the right to reschedule your appointment and/or charge $25. 15 minutes late for established patients, and 10 minutes late for new patients, is considered a late arrival for any visit type. 

 

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540.349.3225