We will resume scheduling new patients after: April 4, 2019
1. Once you have a confirmed appointment date, please download, complete and send us the following PDF forms by email or fax to: firstname.lastname@example.org Fax: (844) 684-8343
2. In addition, once you have a confirmed appointment date, please fill out the:
Please note: we do not take insurance. A superbill will be provided to submit to your insurance carrier.