New Patient Questionnaire

As a first step in visiting our office, we invite you to view, download, and complete our New Patient Questionnaire. Our intent is to streamline the communication process. The more information provided here, the less we will need to gather once you are in our office. Please click the link below and save a copy of the form to your computer. If this seems too burdensome, then just wait and we’ll discuss it in person.

View the form by clicking here.

 

How to Download, Save, and Print the Questionnaire:

Please click the link above and save a copy of the form to your computer.

You can do this by:

  1. Clicking the link
  2. Then look in the corners of your browser window for an icon that states “save” or “download.” (This will differ depending upon what browser you are using. For example: In Chrome the save icon is in the lower right-hand corner. In Firefox, it is in the top right-hand corner.)
  3. If you hover your mouse over the various options, you will notice a description of what that icon/option does.
  4. Find the “save” icon in this way.
  5. Once you have saved/downloaded the form, open it with Adobe PDF reader and use the tools/fill and sign button which will let you fill out the requested fields as best you can.
  6. Save the filled-out document on your computer.
  7. The final step is to print the completed document, or save it and email to us.