Secure Online Patient Form

Secure Online Patient Form (Mandatory before coming in)

BE GREEN, DO IT ONLINE AT YOUR CONVENIENCE!

In an effort to reduce paperwork and be more green, we have a secure online patient form for you to fill out before coming to the office for your appointment. Please take about 10 minutes to do so before coming in. Click the link below to launch the form.

NEW PATIENTS
CLICK HERE: SECURE ONLINE PATIENT FORM

ESTABLISHED PATIENTS – may need for us to activate your portal
CLICK HERE: PATIENT PORTAL

When you come in for your appointment, if you have glasses or extra contacts, bringing those will allow us to better serve you. Also remember your Driver’s License, Student/Staff ID, and Insurance Card (if applicable).

 

Current Social Safety Requirements for all Patients and Patrons (updated: 01/01/2022)

Please keep in mind that we have everyone’s health and safety on the top of our mind when we do plan to re-open. As a patient and or customer, we do ask that you follow these recommended guidelines before coming in.

As a patient and or customer, we do ask that you follow these recommended guidelines before coming in

  1. Face masks are encouraged but not required for all patients and patrons.
  2. We will be screening all patients and customers with non-contact forehead thermometers. Any temperature at 100 or higher will be rescheduled.
  3. We are requesting that patients with symptoms of illness, and those at a higher likelihood of exposure to ANY health related viruses, postpone their visit.
  4. Only the patient is allowed in the exam room with the Doctor. Only one parent or guardian is allowed in the exam room if the patient is a minor (17 years of age or younger)
  5. Online patient intake forms should be completed at home to eliminate sharing computers, tablets, and keyboards. These can be done on your phone as well, they just take longer.

Take care, stay safe and we will see you soon.

 

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