New Patient Forms
(Type on form then e-mail to us or print out
and bring in to office) (4 Pages)
**
We have paperwork that you can either
download, print out and fill out at your convenience or paperwork that you can
complete online and print out . Click on the below buttons to download the
paperwork. (These forms are in PDF format).
Note that the web browser
"Chrome" cannot be emailed directly from Adobe
Reader. You'll need to save to your desktop and email them from your email
program.
Please note that if you fill out the forms
and e-mail them from your own e-mail program or browser, they
will not be encrypted. If you desire
them to be encrypted, save the forms on your computer and then
upload them by clicking the below button.
If you e-mail your forms, someone from our office will acknowledge receipt of your forms so you aren't left wondering if we have received them.
If you haven't received a response back from us within 1 working
day, please call us to confirm we have received them.
New Patient Forms
(Type on form then e-mail to us or print out
and bring in to office) (4 Pages)
**
If you e-mail your forms, someone from our office will acknowledge receipt of your forms so you aren't left wondering if we have received them.
If you haven't received a response back from us within 1 working
day, please call us to confirm we have received them.
Form for Patients to Allow us to Request Records or X-Rays
from another office (Type on form
then print out & bring in to office or fax) (1 Page)
**
Form for Patients to Authorize us to Release Records or
X-Rays to third party
(Type on form then
print out & bring in to office or fax) (1 Page)
**
**
You must have
Version 7 or higher of Acrobat Reader to be able to send the above
forms to us via e-mail. If you are not sure you have version 7 or
higher, please click on the below link to download the most recent
version. There is
NO CHARGE for this.
These
documents require Adobe Acrobat Reader be used to view, download, or
print.
If you need to download Adobe Acrobat Reader (free), click
here:
Note that the web browser
"Chrome" cannot
be emailed directly from Adobe Reader. You'll need to save to your
desktop and email them from your email program.
New Patient Forms
(Type on form then e-mail to us or print out
and bring in to office) (4 Pages)
Please note that if you fill out the forms
and e-mail them from your own e-mail program or browser, they
will not be encrypted. If you desire
them to be encrypted, save the forms on your computer and then
upload them by clicking the below button.
If you e-mail your forms, someone from our office will acknowledge receipt of your forms so you aren't left wondering if we have received them.
If you haven't received a response back from us within 1 working
day, please call us to confirm we have received them.
Note that the web browser
"Chrome" cannot
be emailed directly from Adobe Reader. You'll need to save to your
desktop and email them from your email program.
We also offer
CareCredit if you don't have the means to pay for your treatment. CareCredit® is a personal line of credit for healthcare treatments and procedures for your entire family, including your pets. It works like a credit card but it has two advantages. It can only be used for healthcare services and you can get No Interest financing every time you use it.
Simply pay your minimum monthly payment and pay off the entire balance by the end of your promotional period and you pay No Interest or finance for a longer period of time with interest. Just click
CareCredit®
above to be taken to their website.
