To make your office visit as quick and easy as possible, you can fill out the forms below prior to your visit. If you wish to fill out the forms electronically, please save each document to your hard drive, then open the document from your hard drive prior to filling out the forms.  You can bring the completed forms with you to your appointment.

Health History Form

HIPPA Compliance Form


We are more than happy to submit all insurance claims (including out-of-network!) for you, and help you receive the most coverage available from your insurance benefits.  We will do everything we can to help you afford the treatment you need and want.   Forms of payment accepted by the office are check, cash, and most major credit cards.


If you are unable to keep an appointment, we ask that you kindly provide us with at least 48 hours notice.  Some patients have to wait several weeks for an appointment, and would greatly appreciate your appointment time. A fee may be charged if a patient does not show up for an appointment without sufficient notice.