New Patient Information

Prior to your initial visit, please complete and send us the following via mail or drop off at the office:

A completed Patient History Intake Form (fillable form)
A completed New Patient Info Sheet (fillable form)
A completed Informed Consent Form (fillable form)
A completed HIPAA Notice of Privacy (fillable form)
A completed Waiver & Treatment Authorization Form (fillable form)
All lab results, imaging reports and/or pathology reports (not actual images, only reports) from the past 2 years
Any cardiac testing results (Echocardiogram, stress tests)
Any records from specialists you have seen
A list of all current medications
A list of all current supplements

The health and consent forms are necessary to schedule your initial visit.

Please sign a release of records from your previous health provider and pick up your medical records in person. It is strongly recommended you do this prior to your initial appointment so we have all appropriate records to evaluate your case.

Required Forms

These are fillable PDF forms. You can open them in Adobe Acrobat Reader, fill them out electronically, save them, and then print or email them to us. Alternatively, you can download and print the forms to fill out by hand.