Patient Registration

New Patient Registration

Welcome! We look forward to caring for you.

To help us provide the best possible care and make your first visit as smooth as possible, please complete your New Patient Registration before your appointment. The secure online form takes approximately 10–15 minutes to complete.

The registration includes:
  • Personal and insurance information
  • Medical history
  • Current medications
  • HIPAA Notice of Privacy Practices
  • Consent for Treatment
  • Financial Policy
  • Communication Consent
  • Telehealth Consent (if applicable)
  • AI Documentation Consent
  • Additional health questionnaires, when appropriate
  • Before Your Appointment

Please have the following available:

  • Government-issued photo ID
  • Insurance card(s)
  • Current medication list
  • Pharmacy information
  • Any relevant medical records, if available
  • Complete Your New Patient Registration

Please complete your registration before your scheduled appointment to help ensure a timely check-in and allow us to prepare for your visit.

Notice of Privacy Practices is available in our New Patient Forms packet and available upon request.

Individual Form

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