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PATIENT INFORMATION

New patients or those patients being seen for a new condition, will be asked to complete a medical history form upon their arrival for a scheduled appointment.
This form is available here for those that would like to review and complete this
form prior to arrival at the clinic.

Click on the following forms to download a PDF* version.

Patient Information
to be completed by all patients before their first visit.

Health Questionnaire
to be completed by all patients before their first visit.

Patient Interest
to be completed by all patients before their first visit.

*PDF files can be opened and printed with Adobe Acrobat Reader (with a PC or a Mac), which is a free program that can be downloaded from Adobe

Financing

Please contact our office for information on Care Credit patient financing options for balances over $300.  Three month and 48 month payment plans available. Application may be completed on-line or by coming to our office. 

May be used for:

  • Balance due after insurance has made payment
  • Patients with no insurance
  • Cosmetic surgery
  • Medispa packages