NEW PATIENT insurance card and photo
Look for an email with new patient paperwork. Be sure to click "Finish and Submit" after completing each form.
You will receive new patient paperwork by email. It should arrive within 60 minutes of scheduling your appointment.
Complete each form, and sign it using your mouse, use your finger on a tablet or phone, or use a trackpad.
Be sure to click "Finish and Submit" after each form (not "Save.")
If you were unable to take photos of yourself and your insurance card...
Step One: Insurance Card
Please send us a copy of your insurance card in jpg or tif format.
Please include both the back and the front sides of your card.
Please use your name and birthday in the subject line.
Send a copy to firstname.lastname@example.org