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Patient Information



Need an appointment as a new patient?

New Patient Request Form

Need an appointment as a returning patient?

Returning Patient Registration Portal

Looking to take care of the registration packet before coming to the office?

Male New Patient Registration Package
Female New Patient Registration Package

Need to authorize a release of information?

Authorization to Release of Information
Authorization to Release Test Results

Protected Health Information

Please do not send us any Protected Health Information (PHI), any clinical information, any treatment information or any other transmission that may contain material protected and governed by the Health Insurance and Portability Act (HIPAA) through an unsecured email. Please contact us at our office phone number to find out how this type of information should be sent to us.


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