Making an Appointment
With a referral from their primary care physician, patients may call the office of their choice to set up an appointment. You may wish to review some of the questions below that will be asked upon registration of a new patient.

To obtain or disclose your protected healthcare information, please use this form: Authorization for Use or Disclosure of Protected Healthcare Information

We will collect the following information in order to register a new patient:

* What area of the County would best serve your needs?
* Do you have a preference if the provider is a male or female?

Name
Address
Telephone Number
Employer
Social Security Number
Referral Source
Insurance Information.