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We like to identify our patients and obtain core data that helps us better understand their situation. The information not only helps our providers design a treatment that fits their patient’s needs, but also protect our patients from fraud.
To save time, we ask our patients to complete our intake packet online or download the printable version and bring it with them to their first appointments. When completing the form online, please fill out all necessary fields and do not forget to click submit at the end. The form will automatically be sent to us.
All of our forms and encrypted to protect the safety of our patient’s information. The security and privacy of your personal data is our main concern and we take every precaution to protect it.
If you choose to send us a hard copy of the registration form by mail, please attach a copy of your identification and insurance card (back and front). If any information about you changes during your treatment, please let us know.
We ask to verify your contact information and insurance coverage every visit to ensure that your information is up to date.