You can fill out these forms and then print or email them to

If you don’t have the capability to do this, we will be happy to provide the forms ahead of time, so you can fill them out by hand.

Forms can be emailed if you prefer to

After opening the PDF file on your computer and once you are ready to print, look for the print icon as shown in the upper right corner of the document on the screen and this will allow you to print a copy to your local printer if you are so equipped.

Better Health Care is Our Mission

 Same Day Appointments are Available.