Appointment Information

Please arrive for your first appointment 30 minutes early for check-in and insurance verification, 15 minutes if you download, print, and complete the applicable forms to bring to your first appointment. Descriptions of the forms are also provided below.


Forms
HIPAA Privacy Notice Form

This form describes how health insurance information about you, as a patient of this practice, may be used and disclosed. This is required by the Privacy Regulations.

Medical History Form

This form is to be completed by all new patients prior to their first appointment (Not pelvic health or TMJ/TMD).

Pelvic Health Form

This form is to be completed by all new pelvic health patients prior to their first appointment.

TMJ/TMD Health Form

This form is to be completed by all new Temporomandibular joint disorder (TMJ/TMD) patients prior to their first appointment.

Prescription Form

Looking for a prescription to take to your provider? Please print one here.

The free Adobe Acrobat Reader® is required to view, edit and print these forms.