
New Patient Forms.
Please note: Fees for office visits and treatment are included within the “Office Policies” page of this packet. Current fees are available by clicking through the “schedule now” tab, and are subject to change.
Instructions for form completion: Please download the form before filing out. If you have Adobe Acrobat, fill out the form within Adobe, save and then send via secured email. If you do not have Adobe, you can also download the form using Chrome. Once the form has been filled out, save the form with changes. When asked if you want to replace the previous form, respond “yes.” Then send via email as noted above. You can also simply download the form, complete by hand and scan to send, or bring the completed forms with you to your first visit, although this will not allow time to review them before your appointment. Please retain the Privacy Policy and Office Policies for your reference.
If you have questions or difficulty in downloading the forms, please contact me at 804-405-2330.
Thank you!