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Online Forms

Want to save 20 Minutes on your First Visit?

**FILL OUT IF YOU WERE INVOLVED IN AN AUTOMOBILE ACCIDENT ALONG WITH THE AUTHORIZATION AND RELEASES FORM BELOW**

Vehicle Accident Information


**ONLY FILL OUT IF CURRENT OR PREVIOUS PATIENT**

Records Release


**PLEASE ONLY COMPLETE THIS FORM IF YOU HAVE NOT LOGGED INTO OUR PATIENT PORTAL (MedicFusion) AND COMPLETED IT THAT WAY**

New Patient Health History Form for cash and insurance patients - REQUIRED


**YOU ONLY NEED TO PRINT THIS OUT IF YOU HAVE NOT GONE ONLINE THROUGH THE PATIENT PORTAL (MedicFusion) AND COMPLETED THIS ONLINE. THIS WILL PROVIDE US WITH THE CLINICAL INFORMATION ABOUT YOUR CONDITION.**

New Case Questionnaire for cash and insurance patients - REQUIRED


**ALL PATIENTS NEED TO COMPLETE THIS FORM**

Authorization and Releases


** IMPORTANT NOTICE **

Click Here to View Our Non-Discrimination Statement

New patients receive a free consultation!

Locations

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Office Hours

Our Regular Schedule

Monday:

9:00 am-12:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-12:00 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-12:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-12:00 pm

3:00 pm-6:00 pm

Friday:

9:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed