Please arrive a few minutes prior to your scheduled visit in order to complete your registration and medical forms. For your convenience, these forms can be downloaded and completed prior to your visit by filling out the following documents:
Patient Registry Form
English
Spanish
Medical History Form
English
Spanish
Financial Policy Form
English
Spanish
HIPPA Form
English : Front, Back,
Spanish : Front, Back,
CHDP Application* (not for all patients)
English : Page 1, Page 2, Page 3
Spanish : Page 1, Page 2,
Page 3
Please remember to bring these with you in order for us to expedite
the check-in process.
In addition, we ask that you bring the following documents to your first visit:

Photo ID or driver's license

Health Insurance Card

List of all current medication

List of all allergies And any other information that you feel would be important for us to know.

Bring an adult Social Security Number
For directions as well as a map of how to get to our office, please click the MAPQUEST link below.