Patient Forms

​​New Patient


Please complete the new patient paperwork before arriving for your first appointment.

​ Otherwise, kindly arrive 30 minutes early to complete the new patient paperwork.

New Patient Form

Established Patient 


With the new year fast approaching, we need ALL established patients to please complete the 2019 updated paperwork before arriving for your appointment. 

This will ensure a much faster streamline upon arrival for your first appointment in the new year. 
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Established Patient Form

Medical Records Release


To release records from other doctors to us, please complete the medical record release paperwork above. 

Medical Records Form

(D.O.T.) Physicals


Department of Transportation Drivers: Please complete Section 1 of the Medical Examination report prior to your exam.

Please also review the D.O.T. Pre-Exam Important Information sheet to ensure you are prepared for your appointment.
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DOT Physicals

**IMMUNIZATION RECORDS MUST BE SUBMITTED 1 WEEK PRIOR TO YOUR CHILD'S APPOINTMENT DATE**


Fax the records through this number:

Fax: 817-5813761