New Patients

Make your first visit faster! To spend less time in our lobby, we encourage you to print and complete all of the following forms and bring them with you to your first appointment. Due to security/privacy issues with email please do not send completed documents containing sensitive information back to us via email. If you are unable to complete the paperwork prior to your appointment, please arrive at least 30 minutes prior to your scheduled appointment time. If you have your paperwork completed, please arrive 15 minutes prior to your scheduled appointment time …this will allow time to meet briefly with our Office Administrator, finalize paperwork, and review insurance benefits as needed.

 

All forms are in PDF Format and will need an Adobe Acrobat Reader to view. If you are experiencing problems viewing or printing these forms please contact us at (806) 358-7474 and we will help and/or mail you the forms. A FREE Adobe Acrobat Reader is available from Adobe.

 

 

Patient Information

Patient Demographic

HIPPA Notice Of Privacy Practices

Authorization For Treatment