After speaking with the Physician, every patient is required to complete a HIPAA Compliant Patient Information Form and a HIPAA Compliant Informed Consent. Please click the links below to complete BOTH of the required forms.
Prescriptions will not be submitted until the telemedicine conference and both forms have been completed.
The following form are for In-Person Office Appointments only. Please do not complete these forms unless you are in the office at a scheduled appointment.