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New Patient Information Form
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To facilitate a quicker check-in when you come as a first-time patient, please download our two-page form. Complete it and bring it in on your first visit. * We have alternate methods for you to get the New Patient Information Form to complete and bring in. If you have difficulty with one method please try another method. |
1) Click here
to request that we email the form to you as an attachment.
2) Click here
to have the form downloaded and "unzipped" to your hard drive. [This
requires no special software.]
3) Click here to access the
form using Adobe (r) Reader (r).
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| * This information is confidential and complies with all HIPPA laws and regulations. Click here to view our "Notices of Privacy Practices." |
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| To read and print the form you must have the Adobe (r) Reader (r). It is free and can be obtained by clicking on the icon here: |
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Note: To be able to print the
New Patient Information Form you must do so using the Reader (r)
print button 
or
use the commands Print > File from within the Reader (r)
menu. You can't print using the printer commands or icon in your
web browser. |
| For those that have the Adobe (r) Reader (r) or have downloaded and installed it, click on the following link to access our New Patient Information Form. |
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