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Patient Resources
Patient Form & Fee
Welcome, New Patients!
We’re thrilled to have you join our community. To make your first visit seamless, please fill out the New Patient Forms below. These forms help us get to know you better and ensure we provide the best care tailored to your needs.
Forms:
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Personal Information Form
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Name, address, contact details, and emergency contact information.​
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Medical History Form
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Past and current medical conditions, surgeries, and medication list.
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​Insurance Information Form
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Details about your health insurance for hassle-free billing.
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​Consent Form
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Your consent for treatment and understanding of our policies.
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We are happy to help our patients with the timely completion of various medical forms, including:
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Disability forms
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Family and Medical Leave Act (FMLA) forms
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Insurance forms
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School, sports, and camp forms
Please be aware of the fees for form completion:
Forms under 4 pages: $15
Forms 4 pages or more: $25
Forms are typically completed within 3 to 4 business days. For more details, please call our office.
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Your privacy is important to us. All information provided is kept strictly confidential.
Friendly reminder: Please make sure to bring your filled-out forms to your first appointment. If you have any questions while filling them out, don't hesitate to reach out.
We're here to help! 😊