Our new patient forms are available online below. You can download the form and fill it out from your computer or form. Then you can either email it to us or upload it directly to us using the tool below. You may need Adobe Reader to view the form, which you can download here.
Click this link to download our Medical History & Patient Consent Form.
Medical History-Patient Consent Form – DOWNLOAD
Upload your completed form by click on the “Choose File” button and then press “Submit” to send it to us. If you run into issues you can also email it to us at firstname.lastname@example.org