| Joining our patient communty? Please Click Here and complete the forms before your first |
| office visit. You may either fill out this form online or print it out and bring in with you to |
| the office at the time of your appointment. |
| This will save you time, and make the office administration process easier. If you are |
| filling out information online, please remember to print the form after you are done, |
| as the information is not saved for your protection. |