New Patient Forms

The New Patient Questionnaire needs to be completed prior to your first visit with us.  Please print this at home and fill it out before coming to see us. 

Also listed are two additional forms for your information.  The HIPAA Records Release need not be printed now, and the Arbitration Agreement will be given to you on your arrival in our office. 

You may decide to sign or not sign the Arbitration Agreement; however it is our policy that no patient will be seen by us without this signed agreement

Included on this page is our Privacy Statement for your information.

New Patient Paperwork

Click filename below to access file

New_Patient_Paperwork(1).pdf

Cancer Screening Questionnaire

Click filename below to access file

Cancer_Screening.tif

Arbitration Agreement - you do NOT need to print

Click filename below to access file

Arbitration_Agreement.pdf

HIPAA Records Release

Click filename below to access file

HIPPA_Records_Release.pdf

Privacy Policy

Click filename below to access file

SKMBT_Privacy_Policy.pdf

New Patient

Click filename below to access file

New_Patient_Paperwork(1).pdf

Click link below to download the free Adobe Acrobat Reader

www.adobe.com/products/acrobat/readstep2.html