Before arriving for your first appointment
Before arriving for your first appointment, please print and complete the appropriate registration packet. To help expedite your appointment, please bring the completed forms with you. If you are unable to complete the forms, please arrive 30 minutes early for your initial appointment so you can complete the forms at our office.
(Please use black ink when filling out forms)
Child Packet: Ages 0-12
Adolescent Packet: Ages 13-17
Adolescent Registration Packet
Adult Packet: Ages 18 and up
Medica Members Only: Wellness Assessment – Adult
Medica Members Only: Wellness Assessment – Youth
Important information about your rights and responsibilities in relation to your health care.
Client Information, Financial Policy, & Client Rights