Prep for your visit

Before arriving to your appointment, we ask a couple of favors from you. This will speed up the process so we can make your trip as convenient as possible! Suggested actions before coming are:

• Download Paperwork
  • English:
    • New Patient Packet 2019 – English – 00-0242-04-E
    • Financial Assistance Application and Agreement 2018 – English 00-0240-02-E
    • Clinical Patient Intake 2019 – English Form 00-0239-03-E
    • Addl Patient Data 2019 Form 00-0173-09-E
  • Español
    • New Patient Spanish 2019 Form 00-0242-01-S
    • Financial Assistance Application and Agreement 2018 – Spanish 00-0240-02 -S
    • Clinical Patient Intake 2019 – Spanish Form 00-0239-01-S
    • Addl Patient Data 2019 Form 00-0173-07-S
  • Pусский
    • New Patient Packet 2019 – Russian – 00-0242-04-E
    • Financial Assistance Application and Agreement 2018 – Russian 00-0240-02-R
    • Clinical Patient Intake 2019 – Russian Form 00-0239-03-R
    • Addl Patient Data 2019 Form 00-0173-09-R
• Look over Reschedule Policies on page 5 of paperwork.
• Directions
• Bring Insurance Cards

Please click the following link and download the paperwork. You can choose to fill this out before your appointment or fill it out once you come in.