Providing Quality Care in Wayne and Pike Counties

FORMS

New Patient Paperwork:

The following forms are included in our new patient paperwork.  Please print and complete prior to your first appointment to save a little time.

Our Credit Card On File Policy

These forms discuss our office’s policy regarding a credit card on file (CCOF).  This policy allows for fewer bills and financial statements being sent to you, and cuts down on things like paper, printing, and postage.