* If for Pediatric, Parents please fill out personality profile for yourself.
*You are able to fill these forms out on a computer. Download them first then fill out.
New Patient Intake Form - Required*
You are able to fill these forms out on a computer. Download them first then fill out.
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with?
Please fill out ALL forms and bring them with you to the first appointment, email them to [email protected] or fax them to our office at 806-687-6895 prior to your appointment!
We offer our patient forms online so they can be completed in the convenience of your own home or office.
- If you do not already have AdobeReader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out and fill in the required information.
- Fax us your printed and completed form(s) to 806-687-6895 or bring it with you to your first appointment.