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Avoid the delay of sitting in the waiting room and filling out new patient forms.

You can streamline the check-in process by completing and signing forms from your laptop, tablet, or smartphone before getting to the office.  

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The best way to view, complete, and sign the new patient forms is to log in to the patient portal page using your user name and password. 

If you are a new or established patient, you should have received an email containing a user name, password, and link that takes you to the patient portal. (If you do not have your user name and password, please call the office).

You may also be directed to the patient portal by clicking the button below.

 

Once in your Patient Portal, click on NEW INTAKE REQUEST and follow the prompts to fill out and sign each form. While in the patient portal, you will be prompted to change your password. Your user name will never change. Within the portal, you will be able to email the office with questions or request an appointment, view existing appointments and your medication list.   

If you have health insurance, please have your insurance card handy and enter all necessary information.  If you also have secondary insurance, please enter it when prompted to ADD ANOTHER INSURANCE.  You must CONFIRM THAT THE INSURANCES ARE ACCURATE in order to move forward.

At the end of check-in, you will be given an opportunity to scan your insurance card and take your photograph for your chart. All information entered into your chart via the portal is kept confidential and can only be seen by you, the doctor, and office staff.

Please note, the patient portal should never be used to address urgent medical matters.  If you need to speak with the physician urgently, please call the office.  If you are having a medical emergency, please call 911. 

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Copies of the new patient documents may be downloaded and printed from the PDF files below. You will still need to go to the patient portal to complete all other required demographic and insurance information. 

New patient information form.

NOTICE OF PRIVACY PRACTICES

If you would like more information about the Notice of Privacy Practices, please click on the button below.

Consent for for a Tele-medicine consltation. 

Acknowledgment of receipt of notice of privacy practices

Medical malpractice insurance acknowledgment.

Authorization to release healthcare information. 

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