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Covid-19 Screening and Consent Forms

Please complete the following forms to assist us with your care and click the "Submit" button at the bottom of each form.

Online Forms

Online Forms (new patients)

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.


You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

Printable Forms

COVID-19 Screening Form

COVID-19 Consent for Treatment Form