New Patient Paperwork
We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use.
New Patient Intake Form
Patient Health Information Consent
Pediatric New Patient Forms:
Pediatric New Patient Information
Infant History Form
Preschool New Patient Information
School Age Child History Form
Consent to Treat a Minor Form
Insurance Questionnaire
If you have been in a car accident recently, please fill out these forms as well:
Accident Injury Form
If you have United Healthcare, Great West, Nationwide or Golden Rule, your insurance company requires you to fill out additional paperwork. Please print and complete these forms.
Patient Health Questionnaire - PHQ
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



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