We appreciate you completing intake and consent forms prior to your visit. This allows our providers to spend more time focusing on helping you get great results!
The information you submit in our HIPAA-secure forms is protected health information and will be used only by this office. It will only be shared with other healthcare providers if you provide a signed release of information form.
**Please do not use use your auto-fill function, it creates a problem for some users that prevents advancing and completing the form**
New Patient Intake
Express Visit Intake
In-Depth Follow-up Intake
Education Visit Intake
(for out-of-state)
Free Clinic Intake