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New Patient Registration

For your convenience, you may complete new patient forms in advance. Please select and print from the options below, fill them out completely and bring them with you to your appointment.

If you are not able to complete the forms before your visit, please allow 10 minutes for completion in the office before you see the doctor.

Please schedule your appointment before submitting any forms unless otherwise requested.

Preparing For Your Appt?

a. Bring all current medications in original bottles.
b. Please arrive a few minutes early to fill out paperwork. At your request, we can also send you our New Patient Information Packet in advance to fill out and bring to your first appointment.
c. Bring a copy of any important prior records if you are transferring your care from another doctor.

New GAINSWave Patients

Download and Print New Patient Forms Here. (coming Soon)

Skin Clients

Download and Print New Patient Forms Here. (coming Soon)

Neuropathy Patients

New Patient Special

Get your FREE, 100% confidential appointment now >

Experience Better Heatlh At Any Age!

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It Doesn’t Have to be Embarrassing…
It all starts with a few simple questions…
Call (301) 244-4717

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