Patient Forms

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] 


Telemedicine Consent Form

Telemedicine [PDF]

Telemedicine [Online]

Secure File Upload

Secure File Upload [Online]

Medical Records Release

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

Medical Records Release [PDF] 


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]  


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] 


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

We are closed daily for lunch from 12-1 PM. We are open SOME national Holidays.


9 AM-3 PM


9 AM-3 PM


9 AM-3 PM


11 AM-7 PM alternating with Friday


9 AM-4 PM alternating with Thursday





Our Location

Find us on the map