This form was designed for people who hate to fill out paperwork at a doctor’s office at the initial appointment. Although you will need to complete a medical history questionnaire at your first visit to our office, submitting the information below saves considerable time at check-in. When we receive your information, we’ll transfer it to our new patient form, then have you complete and sign it upon arrival. Although we’ll ultimately need all of the information requested below, you need only complete the fields you want to for now.
This form is provided as a convenience for our new patients. You are under no obligation to submit the information prior to your first visit. Patients may elect to fill out all forms at the initial appointment.