Welcome to our New Patient Portal.

Step 1: Complete the New Patient Forms Online

Make your first visit to our office more convenient and relaxing by filling out your new patient forms electronically in advance! We use a service to securely transmit your new patient forms to our office to help save time during your first visit. To fill out your forms in advance, click any of the links below.

If you are completing the paperwork for our Specialty Office for Airway/TMJ/Infants, please fill out one of the the Adult Airway Forms and, Pediatric Airway Forms, or Infant Screening Forms along with the New Patient Paperwork.

**Please make sure to not leave any blank answers as the forms will not be completed. If the answer is “not applicable”, please put N/A as the answer.

 

Forms for new patients:

Adult – New Patient Paper Packet

Minor (under the age 18) – New Patient Paper Packet

Adult Airway Questionnaire Packet (16 years or older)

Pediatric Airway Questionnaire Packet (0-15 yrs)

Infant Screening Questionnaire (Ages 0-2 yrs)

 

Step 2: New Patient Forms Completed, What Next?

After your forms have been submitted, our office will be in touch within 48 hours. Having any trouble? Just contact our office at (530) 222-1400.