New Patient Forms
There is a $25.00 fee for records obtained from our office.
We are able to take this payment online through PayPal.
This can be paid with Visa, MasterCard or a personal PayPal account. After you have completed the release form below you will be redirected to a PayPal site where you will be able to complete your payment.
Records will not be compiled unless this payment is completed.
Please click a doctor below for the appropriate payment link.