Patient Registration

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.


 

 

Important Information for New Patients

To help protect you from becoming a victim of identity theft, our practice will verify the identity of all new and returning patients of the practice.

Additionally, federal law requires all healthcare providers to obtain, verify, and record information that identifies each new patient.

What this means for you: When you fill out your paperwork with us, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.

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