If you are interested in becoming a new patient, please click the link below to view the new patient application. Please allow 3-5 business days for processing.


Please note that we currently do not accept the following insurances: Cigna HealthSprings HMO, Medicaid, Medishare, TriCare Prime, and Viva Health. 

If you have any questions, please do not hesitate to contact our office.

Thank you for completing your new patient paperwork!

PART ONE:


IF YOU HAVE BEEN NOTIFIED OF YOUR NEW PATIENT APPOINTMENT, REGARDLESS OF WHICH PHYSICIAN YOU ARE SEEING, PLEASE FILL OUT THE FOLLOWING PAPERWORK:


Please complete PART TWO (below) after submitting PART ONE!


Note: All new patients must complete New Patient Information Forms. We encourage you to complete and submit these forms prior to your first appointment.

ALL NEW PATIENTS:


Once you have scheduled an appointment, please fill out the appropriate paperwork as follows:


**NOTE: PLEASE ONLY FILL OUT THE FOLLOWING FORMS IF YOU HAVE BEEN NOTIFIED BY THE CLINIC THAT YOU HAVE BEEN ACCEPTED AND HAVE SCHEDULED YOUR NEW PATIENT APPOINTMENT.**


**PLEASE DO NOT SUBMIT PAPERWORK BELOW BEFORE YOU ARE CONTACTED BY SOMEONE AT THE CLINIC. THANK YOU!**


PLEASE SUBMIT BOTH PART ONE & PART TWO PRIOR TO YOUR FIRST APPOINTMENT.

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PART TWO:


Please complete PART ONE before continuing!


IF YOU HAVE BEEN NOTIFIED OF YOUR NEW PATIENT APPOINTMENT, PLEASE FILL OUT THE FOLLOWING PAPERWORK

ACCORDING TO THE PHYSICIAN YOU ARE SEEING:


Note: All new patients must complete New Patient Health History Forms. We encourage you to complete and submit these forms prior to your first appointment.