PERSONAL HEALTH HISTORY INFORMATION FORM::

Prior to your initial visit, you may complete your personal Health History Information form by clicking on the link below. Print the form, answer all the questions, sign and date the second page, and bring the form with you to your first appointment. The Personal Health History Information form will also be available for you to complete at our office if you wish to do so then.

Link to Patient Information Form

IMPORTANT! A parent or guardian must accompany all patients under the age of 18 for each visit to our office.


HIPAA COMPLIANCE:

Our office implements health information privacy policies and procedures to insure that your personal health information is strictly protected according to the Health Insurance Portability and Accountability Act (HIPAA).