Patient Info

Make an Appointment


New patients should print and fill out the following forms ahead of your first appointment:

Medical/Dental Appointment Forms

Patient Registration
No Show Policy
No Show Policy Acknowledgement
Notice of Privacy Practices
Client Rights & Responsibilities

Behavioral Health Appointment Forms

Patient Registration
Consent for Services
Confidentiality Agreement
Notice of Privacy Practices
Client Rights & Responsibilities

New Patients: Please be advised, Equitas Health providers do not prescribe controlled substances for new patients nor do we manage chronic pain issues. If you are experiencing chronic pain problems, your Equitas Health provider will refer you to a specialist outside of our system or will help you explore alternative methods of managing pain.

Current/Past Patients

Medical Records Request: Please direct any questions about medical records to

Billing: Please direct any questions regarding billing to

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