Forms & Policy

Forms are part of every medical office. Please complete the new patient forms as thoroughly as possible, they are very important for your appointment.

PLEASE ARRIVE AT LEAST 15 MINUTES BEFORE YOUR SCHEDULED APPOINTMENT

PLEASE BRING ALL LAB, Xray and pathology reports (where appropriate) that have been completed within the last 6-12 months. 

If you do NOT have your completed forms with you or, if you arrive more than 15 minutes later than your scheduled appointment time, we reserve the right to reschedule your appointment to be fair to other patients.  Thank you for helping us serve everyone to the best of our ability.

These forms are in electronic pdf format that you can complete online. Please fill in the form before printing.

If you do not have Adobe Acrobat, you can download the free reader HERE.

New Patient visit forms  (adult and children 12 yr and over)

2019-New Patient-Part 1    2019-New Patient-Part 2

New Patient visit forms (child – 11 yr and under )   HERE

Office Visit 3-year Policy   HERE     {new}

Breast History Form  HERE      

Thermography instructions   HERE

Homeoprophylaxis release form for Dr. Janet (HP)  HERE

Vaccine Consult release form  HERE

Matt Grant, DC   New patient forms  HERE

Environmental Allergy Treatment Instructions HERE

Apply for CareCredit:

 

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