Important Documentation

Instructions for New Patients:

1. New patients should download the New Patient Questionnaire and Notice of Privacy Practices form. Please print out both forms on your home printer. Read and carefully complete both forms AT HOME prior to your first visit. Bring these completed forms with you for your initial consultation. This information will become part of your medical record."

2. Please bring your photo ID and your insurance card. All deductibles and co-payments are expected at the time of visit.

Please read ALL PAGES of this form. Print out page one, sign where indicated, and bring this signature page with you to your initial office visit.

Download this form, read very carefully, fill out thoroughly, and sign where indicated. Print or make a copy of this form for your records. Bring signed form with you for your next office visit - it will be included into your medical record.

Please Note:
In order to view these forms you will need to have Adobe Reader installed on your computer. If you do not have Adobe Reader, please click on the link below.


			Instructions for New Patients: 1. New patients should download the New Patient Questionnaire and Notice of Privacy Practices form. Please print out both forms on your home printer. Read and carefully complete both forms AT HOME prior to your first visit. Bring these completed forms with you for your initial consultation. This information will become part of your medical record." 2. Please bring your photo ID and your insurance card. All deductibles and co-payments are expected at the time of visit.
			Name Of Form	Directions
			New Patient Questionnaire Click Here to Download	Please fill out the entire questionnaire AT HOME and bring the completed document to your initial office visit.
			Notice of Privacy Practices Click Here to Download	Please read ALL PAGES of this form. Print out page one, sign where indicated, and bring this signature page with you to your initial office visit.
			Medication Agreement Click Here to Download	Download this form, read very carefully, fill out thoroughly, and sign where indicated. Print or make a copy of this form for your records. Bring signed form with you for your next office visit - it will be included into your medical record.
			Please Note: In order to view these forms you will need to have Adobe Reader installed on your computer. If you do not have Adobe Reader, please click on the link below.