If possible, please complete Patient Forms before visiting using the link below.
You need to fill out a patient history for every patient, but only one registration and credit card authorization per family (just leave the first two pages blank for each additional patient).
The form is best completed on a computer. If you are missing some info (such as if you don’t have a work phone) that’s OK, just click “Done” in the top right corner after you are finished filling all other info.
After filling out and submitting the form, please email a picture of the front and back of your insurance card(s) to [email protected] with the patients name as the subject line, let us know the reason for the Covid testing and indicate some preferred dates & times. One of our staff will get back to you within 24 hours to confirm the exact date and time.
Link to Patient Forms: https://pdf.ac/pbwBR.
Most importantly, when you visit please remember to bring your insurance card, credit card, and ID.
If the PDF Filler link does not work for you, you can also print out and complete the forms using the attached PDF document. Once printed out, please fill it out and bring it with you on your visit: Printable Patient Forms
Physical Examination Forms
Forms for sports physicals are lengthy and time consuming. Those are best to complete ahead of time to ensure they are complete. These forms are reviewed before we give your child a physical examination. If you have not previously registered with us, the registration form listed above is also required. This is a lengthy time consuming form and it is best to complete this ahead of time.
These forms are required for various individual situations.