Get an Appointment

Empower yourself to make informed decisions about your well-being and break free from health conditions affecting your family for generations. Reach out to your doctor for a referral.

New Patient Paperwork

Once your appointment has been confirmed, you will need to complete the following paperwork:

Adults

• New Patient Information Record
• Patient Identification Data

Pediatric

• New Patient Information Record
• Initial History Questionnaire

All

• Authorization to Disclose Protected Health Information
• Payment Policy
• Notice of Privacy Practices
• Notice of Privacy Practices Acknowledgement and Methods of Communication