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Please complete an intake form prior to your first visit to help the

doctor better understand your needs.  

For your convenience, these are available for download below.  

Please print out and bring completed forms to your visit to avoid a delay in your appointment.  

These forms can also be obtained from the doctor's office through

U.S. mail, fax or email upon request.  

The pediatric form should be completed for patients aged 12 and under.

Complete Adult Intake Form

Complete Pediatic Intake Form

Notice of Privacy Practices

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