Secure Online Payments

To make a payment, please enter the Patient Account Number and Patient Name in the box and click the “Pay Now” button. You will be directed to our secure payment page. Thank you!

Patient Account Number/Name: “123456/John Doe”

Access Your Healthcare Online

Forms & Registration

The following set of PDF forms are available for download as a convenience to our patients.

You may download, save, and print these forms for your reference or handwritten completion prior to your appointment in order to speed up your visit and minimize your wait times.

Authorization for Records Release   

New Patient Registration 

Consent for Treating a Minor

Medicare Wellness Form

New Patient Registration (Espanol)

HIPAA Disclosure Form (Espanol)

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Please know that as COVID-19 cases rise, we are here for you, we will continue to stay open for all your healthcare needs.