New Patient Forms

Decatur Office
If you will be a new patient of our Decatur office, you may download our New Patient Forms Packet  and fill them out prior to your first visit.  Don’t forget to bring them with you to your appointment.

Madison Office
If you will be a new patient of our Madison   office, you may provide all  your information online by clicking    here     
~ OR ~
Download our New Patient Forms Packet  and fill them out prior to your first visit.

Please complete the forms in their entirety prior to your appointment using a dark   ink pen.

If the appointment is for a minor, all forms must be completed by a parent or guardian and must include the patient’s name and the parent’s or guardian’s signature on each form. If you are a guardian, it is important that you bring the court ordered paperwork with you for the minor’s first visit. We have included specific instructions for each form in your packet to assist you in completing this necessary information.

Remember to bring your completed forms, driver’s license and insurance card(s) with you to your appointment. We look forward to your visit in our office. If you have any questions regarding the completion of these forms, please contact our office and we will be happy to assist you.