For all new patients, please be sure to print out the following packet, fill it out and bring it with you to your appointment. If you are unable to print it out ahead of time, please arrive 15 minutes earlier than your scheduled appointment time to fill out the forms.

For all adult new patients, please be sure to download, print, and fill out the following forms and bring them with you to your appointment. If you are unable to complete the forms ahead of time, please arrive 15 minutes earlier than your scheduled appointment to complete them.

If you would like to receive a copy of our Privacy Practices Notice, you may do so by clicking on the above link and downloading it using Adobe Acrobat Reader.

RELEASE OF MEDICAL RECORDS

If you are transferring care from our office to another physician and would like to request medical records, please print and sign the medical records release form and fax or mail it back to our office. Once the release is received it will be processed in the order in which it was received.

Cyclogel Home Dilation Instructions