New Patient Forms
If it is more convenient for you, you can print and fill out the forms below before coming to the office. Just click on the appropriate type of insurance: PPO New Patient, HMO New Patient, or Worker Comp/Cash New Patient. Yes, all the pages are necessary to complete your file, so please print out and fill in each page in the packet.
Medicare Patients, click on PPO New Patient Paperwork.For new patients under the age of 18:
A parent or guardian MUST accompany a minor patient to the first visit. After that, exceptions for the requirement of a parent or guardian being present at ongoing treatment are based on the type or area of treatment, and signing of the Minor Patient Waiver form.
IF YOU NEED HELP FILLING OUT THE FORMS, PLEASE COME IN 30-40 MINUTES EARLY BEFORE YOUR APPOINTMENT SO WE MAY HELP YOU WITHOUT LOSING THE TIME FOR YOUR ACTUAL TREATMENT.