We ask that new patients fill out and submit a registration and medical history PDF form. This form can be saved and submitted by e-mail or printed and delivered in person at the first session.
TWO IMPORTANT POINTS:
- Please use the Adobe Acrobat Reader, which is free for download, to fill out and save the registration form. Many programs, including the popular Chrome browser, do not allow you to save PDF form contents to a file. You will avoid much frustration by using the Adobe Acrobat Reader.
- Be absolutely sure that you are using Adobe Acrobat Reader when you start filling out the form. Look for the Adobe Logo and product name:
If you are using the Chrome Browser, it is particularly easy to open a downloaded PDF in Chrome by accident. To avoid having this happen, right-click on the downloaded file at the bottom of the browser screen and choose “Show in folder”:
Doing so will give you more control over which program the PDF is opened in.
You may download the form by clicking on this image:
We take HIPAA compliance and the security of your data very seriously, especially with regard to hard drives, cloud drives, and transmissions of data.
Scheduling an Appointment
Thank you for your patience.
See you soon!
If you wish, you can pay for your session online with Paypal: