New Patients

Welcome to our Practice. We are so pleased that you are joining our medical family!

We have some paperwork for you to complete prior to your first visit. This will help us establish your patient account.

• Patient Medical History Form – ENGLISH

  • Pediatric Health History (0-10 years)

  • Adolescent Health History (ages 11-20 years)

  • Patient Health History (21 years and up)

• Patient Medical History Form – SPANISH

  • Pediatric Health History (0-10 years)

  • Adolescent Health History (ages 11-20 years)

  • Patient Health History (21 years and up)

In addition, we would like to have a record of your medical history. Download and complete our

• Authorization to Release Medical Records - ENGLISH

• Authorization to Release Medical Records - SPANISH

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