Patient Forms

Please fill out our Online Secure form here: Online New Patient Registration Packet. Once completed, please send any medical records chest or sinus x-rays before your appointment to our email [email protected].

If you would like, you can download the PDF, complete the form, and email the completed form to us along with any medical records chest or sinus x-rays before your appointment. 

As a courtesy to other patients who need to be seen, if you need to cancel your appointment please notify us at least 24 hours in advance. If we are not contacted 24 hours before your appointment, then the following fees will apply:

  • $25 for Existing Patient (NO SHOW & LATE CANCELLATION)
  • $75 for New Patients (NO SHOW & LATE CANCELLATION)

SCHOOL FORMS

ALL FORMS NEED TO BE PRE-PAID BEFORE THEY ARE COMPLETED! FORMS WILL COMPLETED IN 10 BUSINESS DAYS FROM PAYMENT. 

There will be a $10 fee for each form completed!  FMLA paperwork is $25

For Allergy and Asthma to complete the form(s) the following is required:  Your child must have had an appointment within the last 12 months.  Completion of parent/child portion of each form with name, date of birth, medication(s) and current weight.  Once your forms are completed they will be uploaded to your patient portal for you to print out.  You can also come into the office to pickup forms.  Forms will not be faxed or mailed.  

For your convenience there are blank school forms on our website and forms for albuterol, epi pen, and benadryl located under the Patient Forms tab.

Contact Us

Send Us an Email

Our Location

Office Hours

Monday:

8:00 am-5:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Allergy Shot Hours

Monday:

8:00 am-11:30 am

1:00 pm-5:00 pm

Tuesday:

8:00 am-11:30 am

1:00 pm-5:00 pm

Wednesday:

8:00 am-11:30 am

1:00 pm-5:00 pm

Thursday:

8:00 am-11:30 am

1:00 pm-5:00 pm

Friday:

No Allergy shots on Friday

Saturday:

Closed

Sunday:

Closed