Please print and fill out the following forms before your visit to cut down on your wait time. If you can’t, we’ll have them waiting for you. Please arrive a few minutes early so you can fill out the forms in our office prior to your scheduled appointment time.

New patient information

• Patient history and physical questionnaire [Download PDF]
• OFAC patient registration form [Download Word Document]

Medical Record Authorization

When requesting medical records please complete the following form.

• Authorization for the release of health care information [Download PDF]