Appointments

When you arrive for your first appointment,  please fill out and bring the 7 forms listed below along with your insurance information. Please note we are no longer able to accept Medicaid. For more billing information please see related PDF below.
  1. Initial Intake
  2. New Patient Information
  3. Consent for Treatment
  4. Health History
  5. Patient Rights
  6. Release of Information
  7. Billing Policy
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Kym Kotlarov,
Sep 21, 2018, 5:20 PM
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Kym Kotlarov,
Apr 22, 2016, 12:51 PM
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Kym Kotlarov,
Apr 30, 2010, 12:59 PM
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Kym Kotlarov,
Apr 30, 2010, 1:00 PM
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Kym Kotlarov,
Apr 30, 2010, 1:02 PM
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Kym Kotlarov,
Dec 1, 2010, 7:19 AM
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Kym Kotlarov,
Mar 25, 2019, 12:35 PM
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Kym Kotlarov,
Jan 19, 2012, 1:08 PM
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Kym Kotlarov,
Feb 7, 2017, 12:29 PM
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