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Forms

Complete your registration and intake on our portal here: https://www.myclinicportal.com/

Or print the forms from the links below:

  1. New patient intake sheet
  2. Medical History
  3. HIPPA Release of Medical Information
  4. Consent to evaluate and treat
  5. Payment Agreement
  6. Notice of Privacy Practices

Other links for existing patients:

  1. Get my schedule
  2. Check in for my visit
  3. Message my provider

Want Some Help?