Please select the correct form and fill out online before you get here to reduce your waiting time in our office.  

Use this form to authorize treatment for your employees. Fill out online and our front desk will receive it automatically. Please instruct your employee to come in for treatment.

Authorization Request Form

Use this form if you need to be seen by our doctor.


Patient Information Form

 

To send in an employee for treatment, please fill out this form, print and send in with employee.