Patient Information

You may print out Patient Registration, Medical History, and HIPAA Consent documents in the links below. Please fill them out in advance and bring them with you to your appointment.

Registration Form
Patient Medical History Form
Patient HIPAA Consent Form
 As a service to our patients, we are pleased to offer CareCredit, the nation's leading health care payment plan. Visit the link below to learn more or apply online.

CareCredit allows you to begin treatment immediately then pay for it over time with low monthly payments that fit into your budget.