Print and complete the Credit Card Authorization Form.
Credit Card Authorization Form
Read our Notification of Privacy Practices.
Notification of Privacy Practices
Print and complete the Receipt and Acknowledgement of Privacy Notice form.
Receipt and Acknowledgement of Privacy Notice
Your confirmation email will specify which of these two registration forms to complete.
Child Registration Form and Practice Info
Adult Registration Form and Practice Info
This Health Care Information Consent form can be submitted to us as needed.
Health Care Information Consent Form