Your first visit
Once you book your appointment, please, fill the New Patient Intake Form you can find on this page and email it back to us. If you are unable to do so for any reason, then be ready to provide us with the information outlined in the Form during your first telehealth appointment. Given the nature of telehealth appointment at this time it may take more than 10 minutes to complete the Meet & Greet part of it. We highly appreciate your understanding and cooperation in this matter as we are trying to meet your healthcare needs while facing the new reality of COVID-19 outbreak.Your first appointment with a Family Doctor will last approximately 10-15 minutes.
New Patient Application form
Provides your Doctor with a brief medical overview. Please, fill it out to the best of your knowledge
Release of Medical Records Form
for 15th street location
Allows us to retrieve your medical records from the previous Doctor’s Office, walk-in clinic or hospital and add them to your new medical chart
Release of Medical Records Form
for 12th street location
Allows us to retrieve your medical records from the previous Doctor’s Office, walk-in clinic or hospital and add them to your new medical chart
Electronic Communication Consent Form
Enables your Doctor to communicate with you via telephone, email or text
Trigger Point Therapy Consent Form
Provides your Doctor with a brief medical overview. Please, fill it out to the best of your knowledge
