Click on a physician's name to download the required paperwork. Please print and fill out prior to your visit.

• Health History Form - Dr. Palomino
• Health History Form - Dr. Ballard
• Intake Form - Dr. Holt
• Intake Form - Dr. Mittal
• Patient Update - Dr. Blackmon

Save time on your first visit by using our convenient online forms. Simply download these PDF files, print them, fill them out, and bring with you.

• Records Release Form
• Patient History Form
• Patient Information Form
• Patient Authorization Form
• Financial Policy
• HIPAA Notice of Privacy Practices
• HIPAA Notice of Privacy Practices Acknowledgment