Please print these forms, fill them out and bring them with you to your first appointment:

(Or fill out online/print and e-mail back with a copy of both sides of your insurance card)


Health History.docx

EEM-EP informed consent.docx

CONSENT FOR TREATMENT.doc

Blank hcfa.rtf


The following is a HIPAA form for your records:

Notice of Privacy.docx

If you have any questions, feel free to call.