This form is for interested clients only --not for spam or refills. New medical patients are required to make a $200 deposit to secure the appointment date and time. This is non refundable. 

The forms will be sent to you via text/email. These forms will expire within 4 hours. This is computer soft ware directed.  We have no control over this. Please fill them out when you receive the notice. Completion of the paperwork prior to the visit will  allow us to focus on you .