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New Patient Forms

Thank you for taking the time to fill out our forms ahead of time. We truly appreciate it. This section has 2 parts. Please read carefully and be sure to scroll all the way down.

Part 1: Please print and complete all of the following

HIPPA Form

Download & Print Form

Medical History Questionnaire

Download & Print Form

Informed Consent Form

Download & Print Form

Patient Financial Responsibility Form 

Download & Print Form

Photo & Video Release Form

Download & Print Form


Part 2: Please print and complete one of the following

Adult Intake Form

Download & Print Form

Child Intake Form

Download & Print Form

Infant Intake Form

Download & Print Form