The Health History Form below should be completed on line and submitted electronically.  If not, it will be available to complete in our office.  If you choose to complete it in our office, please arrive 15 minutes before your appointed time.

Health History Form for patient under 18

Health History Form for patient 18 and over

Please review our HIPAA forms as well.  We will ask you to sign them at your first appointment.

HIPAA Consent Form

HIPAA Notice Form

 HIPAA Acknowledgement Form

 *Health Insurance Portability and Accountability Act (HIPAA)