NEW PATIENTS

Our office uses a secure, paperless health record system. If you’re visiting us for the first time, please complete your registration by clicking the button below to access our online Registration Form.

IMPORTANT NOTE: Once you’ve filled out the form, be sure to click the Complete and Send button at the bottom to submit your information. Your privacy is important to us—we’ve taken every precaution to ensure your personal data is protected.

RETURNING PATIENTS

If it’s been more than a year since we’ve seen you, you will need to update your information by clicking on the link below.  Please remember to click the Complete and Send button at the bottom to submit your information.


PROTECTING YOUR PRIVACY THROUGH HIPAA

If you want to know what steps we take to protect your personal health information, please review our HIPAA Notice of Privacy Practices here: HIPAA Notice of Privacy Practices

RECORDS REQUEST

Use this form to request a copy of your health information for yourself or to send to someone else.

Release of Verbal Health Information