Patient Forms

  • Health History Questionnaire. To save time, you may download the form to complete and bring it with you for your visit.
  • Eprescribe Consent Form. Print and sign this form to either opt-in or out of the Eprescribe Program.
  • New Patient Demographic Sheet. If you are a new patient, or the information has changed, you may download the form to complete and bring it with you for your visit.
  • Privacy Notice. Print to review and sign, and bring it for your visit.
  • Insurance Cards
  • List of all patient medications.  Antihistamines will interfere with allergy testing and should be discontinued 72 hours prior to the appointment if allergy testing is a possibility
  • Physician Referral if required by your insurance plan.
I have been a patient for a few years, by far the best staff and Doctor team in the area. Professional but also caring, they simply do what’s best for…

JB C.

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