Filling Out a Form

Patient Forms

Patient Satisfaction Survey

Medical

Medical Release FROM Us

Medical Release TO Us

Procedure Consent Form

Radiograph Release

Medical Registration Form

Dental

Dental Registration Form

Dental Practice Informed Consent

HIPPA Acknowledgement

Behavioral

Authorization to Release Records

Behavioral Health Registration Form​

Having your forms filled out prior to your visit helps us both! You don't have to sit in the waiting room for longer, either! 
Medical Team
Employment
Job Application

If you would like to see our current job openings, please visit our Careers page.
Insurance

Sliding Fee Scale Requirements

Sliding Fee Scale

Application for Sliding Fee

School Based Health

School Based Health Registration & HIPPA Form