If this is your initial visit to our office, please take time to fill out the intake forms in detail. Please complete both the patient registration form and the patient history form for your physician. This will allow the doctor to best understand your current problem in the context of your medical history.
Patient History Form - Dr. Palacio
Patient History Form - Dr. Miller
Patient History Form - Dr. Heindel
Patient History Form - Dr. Pallatroni
Patient History Form - Dr. Missios
Aviso Sobre las Practicas de Privacidad
These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:
(this link opens a new browser window).