Patient Forms

Telemedicine Consent

Telemedicine Consent [PDF] 

 Telemedicine Consent [Online]

New Patient Paperwork

Please print and fill out these forms before arriving for your appointment as a new patient. Be sure to bring a valid, government issued photo id and all insurance cards you have; these are required for your appointment.

New Patient Paperwork [PDF]  [Online]

Medical Records Release

This form is used when you would like to request your medical records.

Medical Records Release [PDF]  [Online]

Family and Friends Release

This form is used if you would like to give our office permission to speak to someone other than yourself regarding your personal medical history, office visits, pathology results, etc.

Family and Friends Release [PDF]  [Online]

Third Party Release  

This form is used when a third party, such as a life insurance company, is requesting your medical records.

Third Party Release [PDF] [Online]

Please note that there may be a fee associated with releasing your records; this office policy is listed in our new patient paperwork. A completed form may be faxed, mailed, or dropped-off in person to our office. Please do not email the completed form.

Hours of Operation

OFFICE IS CLOSED FOR LUNCH DAILY FROM 12-1PM. The office is closed on most national holidays.


9:00 am-4:30 pm


9:00 am-4:30 pm


9:00 am-4:30 pm


9:00 am-4:30 pm

Select Thursdays from 5-7 PM


9:00 am-4:30 pm





Our Location

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