Registration Packet

To ensure that your primary care team has all your medical information, we ask that you complete a registration packet. The packet includes patient information, patient history, and authorization for the release of medical records. We will request your records from your previous medical provider. Please note that if you do not fill in the entire packet it will delay your records and the scheduling of your first appointment. It may take up to 30 days for us to receive your records. We will contact you once your records have been processed.

Download the registration packet for the appropriate location:

You may state your provider preference in the registration packet. Our medical director reviews all new patient requests. They will take your preference into consideration. Once we accept you as a new patient, you will receive a call to set up your first visit. This is typically a well-visit or yearly exam.