We require our secure online New Patient Forms to be completed prior to your appointment. This questionnaire is intended to be completed by the patient in one sitting. After 45 minutes on a page the session will time-out and you will need to restart the form. Any information sent is encrypted and will be securely retrieved by Our Center once completed.
Please take the time to accurately and thoroughly complete the confidential questions provided, as your responses are essential in providing the most effective diagnosis and treatment for your own unique situation.
It is also recommended at this time to contact your insurance company (medical and dental) to determine your plan benefits, exclusions, pre-authorization requirements, etc. Should you have any questions, please contact us.