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Changing Lives Forever.

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Patients

Forms

For your convenience, patients can download and fill out all paperwork needed for new patients, release of medical records, minor consent and the STAP application below.

If you are a new patient, please fill out the required forms and bring them with you to your appointment.

Please contact our office if you need assistance with completing the forms or if you have questions.

Form #1 Form #2 Form #3 Form #4 Form #5
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Intake Form Minor Consent Privacy Policy STAP Application Medical Records Release


Payment Options

Ask us about our Financing Options.

For private-pay, our preference is cash or check.

We do accept the following credit cards as payment:

  • Discover
  • Visa
  • MasterCard
  • American Express

Thank you for your referrals! We greatly appreciate your trust in our service.

 

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Corporate Partners