New Patient Forms

Congratulations! You have just taken the first step to better health. We request all patients to please download the New Patient Forms and the COVID-19 Consent to Treat Forms below, and bring them with you to your first appointment.  Please also bring a copy of your insurance card, if applicable.

The intake portion of the initial visit will be over the phone, so this will ensure that we have everything we need for that process to run smoothly. The treatment will be in person, directly after the intake.

If you are unable to fill out the forms ahead of time, please bring your own pen and we will supply the forms for you. Please remember when you arrive to stay in your car and call us, and we will bring the forms to you. It will take you about 15-20 minutes to fill out the forms, so please plan accordingly.

Important:  Treatment cannot begin until all of your forms are received and signed. All patients must now fill out the COVID-19 Consent to Treat Form, in addition to the New Patient Forms.

 

COVID-19 Consent forms

New Patient Forms 2017

Fertility Testing & Treatment History 2016 (fertility patients only)

 

If you have to change your  appointment, please give us 24 hours notice so that we can give that appointment to a patient on our waiting list. An exception to this is if you are experiencing any Covid-19 symptoms, or are otherwise ill, have an emergency, or there are dangerous driving conditions.  We are unable to accommodate  Covid-19 patients, so if you are experiencing any symptoms of the virus, please stay home and contact your PCP.  We have eliminated all late cancellation fees.

 

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