Call 221-8621 for your next step at a better life!

 

New Patient Form

 All new patients are required to make a $100 deposit to secure the appointment date and time. This will be a credit and is non refundable. 

The forms will be sent to you via text/email. These forms will expire within a certain time. We have no control over this.

This paperwork will allow us to focus on you and not creating a chart during your time in the clinic. We are unable to provide lab orders or medications without a chart. This process can take 45 minutes to an hour and your entire visit may be used creating your chart. To prevent this we complete chart prep prior to your arrival.