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Medical Team
New Patients

Patient
Intake Forms

Complete your forms online before your first appointment for a seamless, efficient experience. Our secure portal is powered by Zenoti.

HIPAA Compliant
Takes ~10 Minutes
Secure E-Signature
How It Works

Step-by-Step Process

01

Create Your Account

Register through our secure Zenoti patient portal to access your intake forms and manage appointments.

02

Complete Intake Forms

Fill out your medical history, current medications, allergies, and health goals from the comfort of your home.

03

Sign Consent Forms

Review and electronically sign all required consent and authorization documents before your visit.

04

Arrive Ready

With forms completed ahead of time, your first visit is focused entirely on your consultation and care.

Required Documents

Forms & Consent Documents

The following forms are available through our secure Zenoti patient portal. Complete all required forms before your first visit.

New Patient Intake Form

Required

Complete medical history, lifestyle information, and health goals.

HIPAA Consent & Privacy Notice

Required

Authorization for use and disclosure of protected health information.

Informed Consent for Treatment

Required

Acknowledgment of risks, benefits, and alternatives for medical treatments.

Financial Policy Agreement

Required

Payment terms, cancellation policy, and billing information.

Telehealth Consent

Authorization for virtual consultations and remote monitoring, if applicable.

Medication History Form

Required

Current prescriptions, supplements, and over-the-counter medications.

Access the Patient Portal

Our Zenoti-integrated patient portal allows you to complete forms, view upcoming appointments, and manage your wellness profile all in one place.