walk-ins welcome!

Patient Visit Forms

Adult Registration (First time patient 18 & Over) (pdf)Download

Children Registration Pack (Under 18) (pdf)Download

Blue Cross Insurance Forms (complete if you have BCBS Insurance) (pdf)Download

Patient Sign In Forms (For Returning Patients Only) (pdf)Download

Covid Outpatient (Testing Only) (pdf)Download

Authorization Forms

Release of Medical Information (For release to other person or facility) (pdf)Download

ePortal Activation (Request to activate e-portal access) (pdf)Download

Other Forms

Notice of Privacy Practices (pdf)Download

DOT Forms (pdf)Download

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Wishing you a wonderful thanksgiving holiday!

We will be closed Nov. 27th- Nov. 30th

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