Just for Patients

If you are a first time patient visiting our offie, please fill out the new patient forms located to the right under the heading “Patient Forms”. All new patients are required to bring their insurance card(s) to the initial visit.

Patient Information Form
This form includes patient demographic and contact information, insurance information, and primary care providers and (if applicable) referring physician’s contact information.

Medical History Form
This form helps us get to know you a little better.

Family History Questionnaire for Common Hereditary Cancer Syndromes Form
This form helps us understand your family history and makes us aware of any possible risks to your health.

Notice of Privacy Form
All patients seen must have this form completed and on file prior to seeing a doctor.

Financial Policy Form
This form is a statement of our Financial Policy, which we require for you to read and sign prior to any treatment.

HPV Information Statement & Consent
Genital human papillomavirus (HPV) is the most common sexually transmitted virus in the United States. More than half of sexually active men and women are infected with HPV at some time in their lives.  This informational sheet serves as an educational guide to the HPV vaccine and a consent form.