Please help us be prepared for your first appointment by completing this Patient Information and Medical History form. Download the form below (in PDF format) to your computer, print it out, complete the form, and bring it with you to your first appointment.
- Patient Health History Page 1 (PDF format)
- Patient Health History Page 2 (PDF format)
- Child Registration Form (PDF format)
- Financial Agreement (PDF format)
- HIPAA Acknowledgement (PDF format)
If you're unable to read PDF files, you can download Acrobat Reader free from Adobe.