Forms

Patient Forms PDF

Please complete these forms prior to arriving at our office.


  • Medical Records Release (Word DOC / PDF)
  • Nurse Intake Form - Please fill this out before arriving for your appointment to ensure the quickest possible visit to our office.
  • Designated Individuals Authorization Form - Filling out this form authroizes individual parties to request and receive the release of any protected heath information regarding treatment, payment, or other administrative operations.


For Referring Providers



Call for an appointment:

828-264-4553

Resources