New Patient Forms

Click below to download our new patient forms.
Fill out these forms at home before you come for your first visit!

In order to save you precious time in the office please download the appropriate forms from the list below.

All patients must complete

  1. Case History - Adult Pediatric (for children 12 yrs old or younger complete the pediatric form)
  2. Terms of Acceptance
  3. Financial Policy
  4. HIPAA Privacy Form
  5. Emergency Contact Sheet

Please fill out all forms completely and thoroughly. We will address any questions or concerns personally at the office.

Yours in Health,

Dr. Mills