All patients, or parents of minor patients, will be asked to complete the brief medical history form shown below.  The information requested is necessary to insure proper treatment.  All information will be regarded as confidential.  Researching this information prior to your first appointment will expedite your treatment.
 
To simplify your check-in when you arrive at the office, you may print the Health History (both pages) in advance, fill them out, and bring them with you to your appointment.
 
Health History (front page)
Health History (back page)

You may download Adobe Reader here if you need it to view the above PDF files.

Front
Back
 

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