For your convenience, you may download and print one of the following intake forms prior to your first visit.
One is for adults (+12) and one is for pediatric patients (under 12). If you are the parent/legal guardian of a child under 12 you may fill out the Pediatric Intake Form. Please have these returned before your first visit to give me time to review your health conditions and fast track you to treatment.
You can drop them off during office hours. Thank you!
Adult Form: CLICK HERE
Pediatric Form: CLICK HERE