New Patient Paperwork

Please bring your completed new patient paperwork to your first visit or send via email to

Adobe Acrobat document [111.5 KB]
Patient Packet.pdf
Adobe Acrobat document [109.3 KB]

As a cash-based clinic you are responsible for all payment due at the time of service. You can, however, submit to your insurance company for reimbursement as an out-of-network provider. Our insurance work sheet is available to help you ask all appropriate questions to your insurance company to see if you are eligable for reimbursement. 

Microsoft Word document [28.0 KB]
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