Online Forms

Documents We’ve made it easy to access all the forms you need - all in one place. New patients can complete their intake paperwork before their first visit, and existing patients can update health or contact information anytime.

You may print and bring your completed forms to your appointment.


Select your form below to get started:

New Patient Intake Forms  - Demographic and health history for your first appointment

Pediatric Intake Forms - For patients under the age of 10.

AUTO Intake Forms - Information following an auto accident.

Workers Compensation Intake Forms - Information for worker's compensation claims

Authorization for the Release of Medical Records 


Formularios en Español:

Historial de un nuevo paciente

Historia médica para niños

Información de accidentes vehiculares


Please Note: Adobe Acrobat Reader® is required to to access forms. Download the Free AdobeReader®

Location

Conviently located on the corner of 12th & Bridge Street in Brighton

Office Hours

Monday:

10:00 am-12:30 pm

2:30 pm-6:30 pm

Tuesday:

Closed

Wednesday:

10:00 am-12:30 pm

2:30 pm-6:30 pm

Thursday:

8:00 am-12:00 pm

Friday:

10:00 am-12:30 pm

2:30 pm-5:30 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

Review By Our Satisfied Patient