Patient
Intake Forms
Complete your forms online before your first appointment for a seamless, efficient experience. Our secure portal is powered by Zenoti.
Step-by-Step Process
Create Your Account
Register through our secure Zenoti patient portal to access your intake forms and manage appointments.
Complete Intake Forms
Fill out your medical history, current medications, allergies, and health goals from the comfort of your home.
Sign Consent Forms
Review and electronically sign all required consent and authorization documents before your visit.
Arrive Ready
With forms completed ahead of time, your first visit is focused entirely on your consultation and care.
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
RequiredComplete medical history, lifestyle information, and health goals.
HIPAA Consent & Privacy Notice
RequiredAuthorization for use and disclosure of protected health information.
Informed Consent for Treatment
RequiredAcknowledgment of risks, benefits, and alternatives for medical treatments.
Financial Policy Agreement
RequiredPayment terms, cancellation policy, and billing information.
Telehealth Consent
Authorization for virtual consultations and remote monitoring, if applicable.
Medication History Form
RequiredCurrent 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.