Patient Registration

In order to serve you more efficiently, print out and complete the registration paperwork and bring with you on your next visit.

Registration Paperwork
If you are a new patient or need to update any information for our records, please complete our registration paperwork and bring with you to your scheduled appointment. Please be sure to view all seven forms listed below.  Additional paperwork may be required upon your first visit.

1. Consent for Treatment
2. Financial_Policy
3. HIPAA
4. Medical Records Release

5. Medical History: English, Spanish.pdf
6. Patient Attendance Policy
7. Patient Registration.xls
Patient Registration: Spanish.xls

All forms are pdf files which require Adobe Acrobat.

Click here to download the free pdf reader.