Patient Intake Forms

Complete your paperwork in advance to make your visit as smooth as possible.

Complete Forms Online

Save Time with the Patient Portal

The fastest and most secure way to complete your new patient registration, medical history, and consent forms is through our Patient Portal. Forms completed online before your appointment help reduce wait time and ensure your care team has everything they need before you arrive.

Access Patient Portal →

Forms for Your Visit

All forms are available through the Patient Portal or in paper format at any of our office locations.

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New Patient Registration

Demographic information, emergency contacts, and insurance details. Complete before your first visit.

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Medical History

Current medications, past surgeries, allergies, and family history. Required for all new patients.

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HIPAA Notice of Privacy Practices Acknowledgement

Acknowledgement that you have received our Notice of Privacy Practices as required by federal law.

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Insurance Authorization & Assignment of Benefits

Authorizes your insurance carrier to pay benefits directly to our practice for services rendered.

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Authorization for Release of Medical Information

Required when requesting that records be sent to a third party, such as an attorney or another provider.

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Financial Policy Agreement

Outlines our payment policies, co-pay requirements, and the patient’s financial responsibilities.

To receive paper copies of any of these forms, please call our office or request them at the front desk upon arrival.

Completing Forms In-Office

If you are unable to complete forms in advance, no problem — our staff will assist you at our in-office kiosks.

Arrive Early

If you have not completed forms in advance, please arrive 15–20 minutes early for your first appointment to allow time for check-in.

Staff Assistance

All forms are completed electronically on our in-office kiosks. Our front desk team is happy to assist you and answer any questions before you are seen.

Questions About Your Forms?

Our billing and front desk teams are ready to help with any questions about completing or submitting your forms.