New Patient Forms

In preparation for your first visit to our office, be sure to contact your primary care physician to ensure that they have sent or will send all of the appropriate information to us. This will help us to diagnose your condition and fully address your concerns.

Please arrive at our office 30 minutes prior to your scheduled appointment so that you can fill out the necessary office and insurance paperwork. We also ask that you please bring all of your medications and a current medical insurance card to this initial visit.

Depending on your condition or concerns, your first visit with us could take anywhere from 30 to 60 minutes. After examining the records and information that have been supplied to us, we will conduct a thorough examination, followed by a diagnosis and detailed treatment plan. We encourage you to ask questions, and we will be glad to address any concerns you may have.

Please print out the following new patient forms and bring them with you to your appointment.

New Patient Forms:

• Health History
• Medication History
• HIPAA Consent
• HIPAA Consent (Spanish)

Release of Records Forms:

• Records Request (to CCOH)
• Release of Records (to another Physician)

Miscellaneous Forms:

• Demographic/Insurance Change Form