Pre-Registration Forms for New Patients

New Patient Registration form

Medical Information Release Form

Adult Patient History form

Adolescent Patient History form (Ages 12-17)


Child Patient History form (Ages 0-11)

 

Family Care

* We now offer appointments for physical exams and other services

*We provide services for acute and chronic medical problems

* We provide all types of physical exams for patients six years of age and older: pre-employment, school, camp, DOT, teacher,college, etc.

*Annual physical exams with chest X-Ray, EKG, PSA, vision and hearing screening, spirometry testing, blood and urine tests as needed.

*Pap smear, Depo-Provera shots, birth control planning, women's health issues

 

Urgent Care

* Cuts, fractures, burns, acute illnesses, and other urgent medical problems, receive immediate attention.

* No need to call, no need to make an appointment for your urgent care needs.  THE DOCTOR WILL SEE YOU NOW!

 

Prescription Refills

For prescription refills, please call your pharmacist.  Please have your pharmacist call us if further information is needed.

 

X-Ray

Sprains, strains, and fractures are X-rayed on the premises by our radiological technologists.

 

 Lab Tests

* Normal lab results are reported to you by mail within 10 days of the test.  If lab results have not been reported to you within 14 days of the test, please contact us.

*If your lab specimen is sent out for further testing you will receive a bill for those services from that lab.  The co-pay collected at our office does not cover the cost of those services.