New Patient Forms
Fill out your paperwork before your first visit so check-in takes only a minute and you can settle right in.
Download and complete the forms below before your first appointment. You can print them at home and bring them with you, or arrive 15 minutes early and pick up paper copies at the front desk. If a question trips you up while you fill them out, call our Harrisonburg office on Medical Avenue and we will walk you through it.
New Patient Registration Form
Basic contact information, medical history, and dental history.
Medical History Questionnaire
Detailed medical history including medications, allergies, and current conditions.
HIPAA Privacy Notice
Our notice of privacy practices regarding your protected health information.
Financial Policy & Consent
Our financial policies, payment options, and treatment consent form.
Note: These forms are currently being updated. Please check back soon for downloadable PDF versions, or request copies by calling our office.
Questions About Your First Visit?
Reach out any time and we will walk you through every step before you arrive.
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