Clinic Patient Forms

To make your first visit with us as easy as possible, we have our intake forms available to you online. Please fill them out prior to your first appointment. You may fill them out online and then print, or you may print them out and complete by hand. We have two different groups of forms. The first one is for those who are paying for the treatment out of their own pocket and the second for those whose treatment is covered by health insurance.

If you are private pay (cash, check, or card), please fill out ‘New Patient Intake Form’

If you have health insurance, please fill out ‘New Patient Intake Forms with Insurance’