Until further notice, masks must be worn in our establishment. Thank you.
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Patient Intake Forms


 

The Patient Intake Forms below are REQUIRED to be filled out before your arrival.

This helps to reduce your wait time in the office!

Please print out both forms and fill them out to bring in with you to your appointment.

If you are unable to print, you need to come 30 minutes early for your appointment to complete the forms on-site.

In the event you arrive without your forms completed, and not 30 minutes before your appointment time, we may need to reschedule your visit.

We do our very best to keep our patient’s wait times to a minimum, but our doctors are the most sought after in the valley!

They always give their patients the time and attention they deserve and that includes you, so thank you for your patience!

 

Please click on each link to print the forms!

 

Demographic Form

 

Health History

 

Thank you, and we look forward to seeing you soon!