Registration Forms
Please complete the Patient Registration, Health History and Authorization for Medical Information Exchange forms. If you need Behavioral Health services, please be sure to complete the Behavioral Health Acknowledgement.
We also need physical copies of your photo ID and all insurance card(s). Feel free to use the forms below to upload them electronically. You can also bring them to your appointments and our Front Desk Staff will be happy to scan a copy.
Patient Registration Form
Required for all patients
Health History Form
Required for all patients
Authorization for Medical Information Exchange
Required for all patients
Behavioral Health Acknowledgement
Only required for those needing Behavioral Health Services
Photo ID Upload Form
We need a physical copy of your Photo ID. If you are unable to upload it electronically using this form, please bring it to your appointments and our Front Desk Staff will scan a copy for our records
Insurance Card(s) Upload Form
We need physical copies of all your insurance cards. If you are unable to upload them electronically using this form, please bring them to your appointments and our Front Desk Staff will scan a copy for our records
Miscellaneous Upload Form
Have other paperwork you need to send us? Use this form
