We are excited to have you as our new patient! To save your time, please complete all forms listed below and bring those with you. Otherwise, we kindly ask you to arrive at least 15 minutes prior to your appointment time.

New Patient Forms

Please print & read all forms

1. New Patient Intake Form

2. Health History Form

Insurance

My goal is to give you the best care possible, without limitations, so I’ve chosen to be an out of network provider. This allows me more time to spend on your treatment plan. Please contact your insurance carrier to verify coverage as benefit-eligibility may vary by member’s policy. I will provide you with a superbill that you can submit for possible reimbursement. Health Savings Accounts (HSAs) are accepted.

I will gladly discuss your proposed treatment and answer any questions relating to your insurance. Your insurance is a contract between you, your employer, and the insurance company. I am not a party to that contract. I must emphasize that as a medical care provider, my relationship is with you and not your insurance company.