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Medical Forms

If you have any questions regarding the following forms, please contact our office. We will gladly answer your questions and assist you in any way possible.

Privacy Notice

Protected Health Information Release

Demographic Form

Medical History Form

Chart Release Form

Spanish Forms

Insurance Information

We are pleased to announce that we accept most major insurance plans.


To make an appointment, please call our office in advance. If you must cancel or reschedule an appointment, please contact our office as far in advance as possible. We are dedicated to serving as many patients as possible. To be as efficient and effective as possible, we must maintain an organized appointment schedule. 

Fees & Payments

We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements are made. We accept cash, checks, MasterCard, Visa, and Discover for your convenience. If we are a participating provider of your insurance company, we will bill them. However, payment is the patient's responsibility. We will help in any way we can to assist you in handling claims.

Prescriptions & Renewals

All prescriptions and renewals will be authorized during normal office hours, 8:00 AM – 5:00 PM, Monday – Friday.

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