Home    About Us    Contact Us    Our Mission    LOGIN

FDA Cleared Medical Treatment

Download New Patient Paperwork

We make it easy for you by minimizing paperwork.  Please complete and bring the following forms with you on the first visit.

1. Express Registration form
2. Pre-Exam form

If you want to use your insurance**, also complete this form:  "Assignment of Insurance Benefits".

**Please bring your insurance card with you.**

 

 

 

 

 

 

 

Locations
Services
Cost/Prices
Affordable!
Insurances
PAPERWORK

 

Copyright © 2002-2009. IndeFree Association.  All rights reserved.

private practice marketing