Forms & Instructions

 

Notice to all patients 

  • New patients please plan to arrive 15 mins early and bring new patient paperwork completed, a list of your medications, copies of records, and any imaging studies/films you may have. 
  • Copays and deductibles are due at the time of service. 
  • All disability and insurance forms filled out by a physician are subject to an appointment and a charge of $25.
  • If an appointment is not cancelled at least 24 hours in advance you will be charged a fee based on your type of visit; this will not be covered by your insurance company.   

 

New patient forms Download PDF

Questionnaires Epworth Sleepiness Scale Sleep History

Consent Consent for Video Taping

Information Privacy HIPPA Info for Patients