New Patient Paperwork
New Medical Patients
For your convenience, our new patient paperwork for medical appointments is available to complete 100% online with a smartphone, tablet, or computer before your appointment. You can even begin filling out your forms, save your progress, and come back to finish them when you have time.
You can find a copy of our Privacy Practices here. Please download the following for your records:
Behavioral Health/Counseling Services & Recovery Program
If you are seeking Behavioral Health/Counseling services, please complete this brief form.
If you are interested in our Recovery Program, please complete this brief form.
After completing the form, one of our Behavioral Health team members will follow up with you in 1 to 2 business days.
I work full time helping the disabled but still couldn’t afford the care I needed—until now.Deb, Patient and Home Health Aide